Healthcare Provider Details

I. General information

NPI: 1447181870
Provider Name (Legal Business Name): SARAH IBRAHIM PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 LONE PINE RD
WEST BLOOMFIELD MI
48323-2916
US

IV. Provider business mailing address

3825 LONE PINE RD APT 100
WEST BLOOMFIELD MI
48323-2917
US

V. Phone/Fax

Practice location:
  • Phone: 248-513-0922
  • Fax:
Mailing address:
  • Phone: 248-513-0922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5351018464
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: