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NPI Code Detail

MEDICARE: MR. HAKIM AZIZ ABDULLAH PHARMD

MEDICARE: MR. HAKIM AZIZ ABDULLAH PHARMD
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
1183500000XPharmacist5302037434MI

General Provider Information

NPI Number : 1306120563
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HAKIM AZIZ ABDULLAH PHARMD
Provider Business Mailing Address
First Line : 30572 SOUTHFIELD RD
Second Line : APT. 149
City : SOUTHFIELD
State : MI
Zip : 48076-1226
Country : US
Telephone Number : 313-743-8089
Fax Number :
Provider Business Practice Location Address
First Line : 32201 HARPER AVE
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48082-1408
Country : US
Telephone Number : 586-293-5152
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 10/06/2011

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