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1114558731
IMAD ALI MOHAMMAD
DETROIT, MI
NPI
1114558731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5315179007)
Enumeration Date
2020-02-02
Last Update Date
2020-02-02
Business Address
IMAD ALI MOHAMMAD Rph
13580 GRAND RIVER AVE
DETROIT, MI 48227-3522
Phone number: 313-653-3427
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Mailing Address
IMAD ALI MOHAMMAD Rph
13580 GRAND RIVER AVE
DETROIT, MI 48227-3522
Phone number: 313-653-3427
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