Healthcare Provider Details

I. General information

NPI: 1871180711
Provider Name (Legal Business Name): NASEEM RAZOKI PHARMD, BCACP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2020
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CVS DR
WOONSOCKET RI
02895-6146
US

IV. Provider business mailing address

42565 LEONARDOS WAY
CLINTON TOWNSHIP MI
48038-1682
US

V. Phone/Fax

Practice location:
  • Phone: 464-204-2158
  • Fax:
Mailing address:
  • Phone: 586-854-4757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302413071
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: