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1013665132
FOUAD FARDOUS
DETROIT, MI
NPI
1013665132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302028624)
Enumeration Date
2022-03-17
Last Update Date
2022-03-17
Business Address
FOUAD FARDOUS rph
8000 W OUTER DR
DETROIT, MI 48235-3210
Phone number: 313-806-8966
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Mailing Address
FOUAD FARDOUS rph
24221 FAIRMOUNT DR
DEARBORN, MI 48124-1539
Phone number: 313-445-3262
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