MEDICARE: MRS. ALIDAH NATHOO RPH

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
1	183500000X	Pharmacist	5302032230	MI

General Provider Information

NPI Number	:	1124197678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALIDAH NATHOO RPH

Provider Business Mailing Address
First Line	:	47246 N POINTE DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-1448
Country	:	US
Telephone Number	:	734-644-6710
Fax Number	:

Provider Business Practice Location Address
First Line	:	47246 N POINTE DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-1448
Country	:	US
Telephone Number	:	734-644-6710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	06/24/2025

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1386135507 — TESHA JO SHIPMAN-CURTIS CASE MANAGER
Practice Location Address:

122 CENTRAL PLZ N LOWR LEVEL
CANTON, OH
44702-1448

Practice Phone: 234-804-3008
Practice Fax: 234-804-3024

1598408320 — CARLOS D WALLS
Practice Location Address:

1135 ARLINGTON AVE SW
CANTON, OH
44706-1448

Practice Phone: 234-214-3370
Practice Fax:

1982466132 — MELINDA MARIE GLENN
Practice Location Address:

1135 ARLINGTON AVE SW
CANTON, OH
44706-1448

Practice Phone: 330-265-0081
Practice Fax:

1952231839 — MELISSA DANIELLE PERRY
Practice Location Address:

1448 S CANTON AVE
TULSA, OK
74112-6310

Practice Phone: 918-902-2500
Practice Fax:

1033946736 — JAY MICHAELA VANDYKE
Practice Location Address:

2200 N CANTON CENTER RD STE 200A
CANTON, MI
48187-5038

Practice Phone: 734-559-3540
Practice Fax:

Directions to “ MRS. ALIDAH NATHOO RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.