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NPI Code Detail

MEDICARE: SHAHLA SALIH RPH

MEDICARE:   SHAHLA  SALIH  RPH
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
1183500000XPharmacist5302041601MI

General Provider Information

NPI Number : 1912399981
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHLA SALIH RPH
Provider Business Mailing Address
First Line : 2818 MARSHALL ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1829
Country : US
Telephone Number : 734-272-7747
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 : 313-381-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2015
Last Update Date : 02/26/2015

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Directions to “ SHAHLA SALIH RPH” Practice Location

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