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NPI Code Detail

MEDICARE: NASLIBAN INC

MEDICARE: NASLIBAN INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyPENDINGMI

General Provider Information

NPI Number : 1013150721
Entity Type Code : Organization
Provider Name (Legal Business Name) : NASLIBAN INC
Provider Business Mailing Address
First Line : 2676 W GRAND BLVD STE 101
Second Line :
City : DETROIT
State : MI
Zip : 48208-1237
Country : US
Telephone Number : 313-871-3285
Fax Number : 313-871-0788
Provider Business Practice Location Address
First Line : 2676 W GRAND BLVD STE 101
Second Line :
City : DETROIT
State : MI
Zip : 48208-1237
Country : US
Telephone Number : 313-871-3285
Fax Number : 313-871-0788
Authorized Official
Title or Position : PRESIDENT
Name : MR. GHASSAN YAZBECK
Credential :
Telephone Number : 313-871-3285
Provider Enumeration Date : 04/10/2009
Last Update Date : 04/10/2009

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Directions to “NASLIBAN INC ” Practice Location

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