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NPI Code Detail

MEDICARE: HALA TOKKO

MEDICARE: HALA TOKKO
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
1183500000XPharmacist5302415506MI

General Provider Information

NPI Number : 1558144998
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALA TOKKO
Provider Business Mailing Address
First Line : 21431 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48219-3801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21431 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48219-3801
Country : US
Telephone Number : 313-778-7610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 08/17/2023

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Directions to “ HALA TOKKO ” Practice Location

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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.

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