MEDICARE: ZOHDI M ABUSHABAN PHARM D

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	03122800	OH
2	183500000X	Pharmacist	5302030563	MI

General Provider Information

NPI Number	:	1811661077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOHDI M ABUSHABAN PHARM D

Provider Business Mailing Address
First Line	:	4404 CHERRY GROVE LN
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-4420
Country	:	US
Telephone Number	:	313-266-1841
Fax Number	:	567-666-0221

Provider Business Practice Location Address
First Line	:	5595 CHATHAM LN
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-9742
Country	:	US
Telephone Number	:	313-266-1841
Fax Number	:

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

Provider Enumeration Date	:	08/02/2021
Last Update Date	:	01/16/2026

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