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Contact Information

ANTHONY IBRAHIM, PHARM.D.
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI48336-5919
 Phone: 947-521-8363
 Fax: 248-471-8498
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ANTHONY IBRAHIM · (Male)

NPI Number 1700401064
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 06/12/2020
Last updated 06/12/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5302042501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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