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NPI Code Detail

MEDICARE: HANAN DAKIK

MEDICARE: HANAN DAKIK
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
1183500000XPharmacist5302411651MI

General Provider Information

NPI Number : 1659902419
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANAN DAKIK
Provider Business Mailing Address
First Line : 27128 TIMBER TRL
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-3328
Country : US
Telephone Number : 313-445-8860
Fax Number :
Provider Business Practice Location Address
First Line : 2400 FORT ST
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2496
Country : US
Telephone Number : 313-445-8860
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2020
Last Update Date : 01/30/2020

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Directions to “ HANAN DAKIK ” Practice Location

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