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NPI Code Detail

MEDICARE: MR. HASSANE I SHUAYTO PHARMACIST

MEDICARE:  MR. HASSANE I SHUAYTO  PHARMACIST
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
1183500000XPharmacist5301006382MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558466953
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HASSANE I SHUAYTO PHARMACIST
Provider Business Mailing Address
First Line : 15000 GRATIOT AVE
Second Line : SUITE 140
City : DETROIT
State : MI
Zip : 48205-1973
Country : US
Telephone Number : 313-521-7000
Fax Number : 313-245-1942
Provider Business Practice Location Address
First Line : 15000 GRATIOT AVE
Second Line : SUITE 140
City : DETROIT
State : MI
Zip : 48205-1973
Country : US
Telephone Number : 313-521-7000
Fax Number : 313-245-1942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 07/08/2007

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Directions to “ MR. HASSANE I SHUAYTO PHARMACIST” Practice Location

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