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NPI Code Detail

MEDICARE: ALI MOUZAIHEM

MEDICARE:   ALI  MOUZAIHEM
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
1183500000XPharmacist5302416445MI

General Provider Information

NPI Number : 1093545493
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI MOUZAIHEM
Provider Business Mailing Address
First Line : 25639 HASS ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3051
Country : US
Telephone Number : 313-938-8617
Fax Number :
Provider Business Practice Location Address
First Line : 25639 HASS ST
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3051
Country : US
Telephone Number : 313-938-8617
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2024
Last Update Date : 08/01/2024

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Directions to “ ALI MOUZAIHEM ” Practice Location

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