Provider Demographics
NPI:1083338552
Name:ALQAATABI, AIMAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:AIMAN
Middle Name:
Last Name:ALQAATABI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4945 PALMER ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2821
Mailing Address - Country:US
Mailing Address - Phone:313-502-6868
Mailing Address - Fax:
Practice Address - Street 1:4945 PALMER ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2821
Practice Address - Country:US
Practice Address - Phone:313-502-6868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302414626183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist