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NPI Code Detail

MEDICARE: MR. ALLIE HAMOOD RPH.

MEDICARE: MR. ALLIE HAMOOD 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
1183500000XPharmacist5302411288MI

General Provider Information

NPI Number : 1487821310
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALLIE HAMOOD RPH.
Provider Business Mailing Address
First Line : 20330 AUDETTE ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-3969
Country : US
Telephone Number : 313-563-0383
Fax Number :
Provider Business Practice Location Address
First Line : 2305 MONROE ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-3009
Country : US
Telephone Number : 313-274-9141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2008
Last Update Date : 05/09/2008

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