Healthcare Provider Details

I. General information

NPI: 1285503268
Provider Name (Legal Business Name): ALLESANDRA FAKIH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 E HURON RIVER DR
YPSILANTI MI
48197-1051
US

IV. Provider business mailing address

516 NORTH RD
FENTON MI
48430-1841
US

V. Phone/Fax

Practice location:
  • Phone: 734-712-2361
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302417784
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: