MEDICARE: ANITA YOUSEF

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
1	183500000X	Pharmacist	5351016296	MI
2	183700000X	Pharmacy Technician	5351016296	MI

General Provider Information

NPI Number	:	1811656309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA YOUSEF

Provider Business Mailing Address
First Line	:	2310 METROPOLITAN PKWY
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-4209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 METROPOLITAN PKWY
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-4209
Country	:	US
Telephone Number	:	586-698-1028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2021
Last Update Date	:	12/11/2021

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Directions to “ ANITA YOUSEF ” Practice Location

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