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NPI Code Detail

MEDICARE: DR. RIVA LINDA MALKI PHARMD

MEDICARE:  DR. RIVA LINDA MALKI  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
1183500000XPharmacist5302042541MI

General Provider Information

NPI Number : 1780215582
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RIVA LINDA MALKI PHARMD
Provider Business Mailing Address
First Line : 15051 E 13 MILE RD
Second Line :
City : WARREN
State : MI
Zip : 48088-3312
Country : US
Telephone Number : 586-415-6565
Fax Number : 586-415-2234
Provider Business Practice Location Address
First Line : 15051 E 13 MILE RD
Second Line :
City : WARREN
State : MI
Zip : 48088-3312
Country : US
Telephone Number : 586-415-6565
Fax Number : 586-415-2234
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 “ DR. RIVA LINDA MALKI PHARMD” Practice Location

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