Provider Demographics
NPI:1093091613
Name:KAMEH, PARI B (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PARI
Middle Name:B
Last Name:KAMEH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26104 APRIL CT
Mailing Address - Street 2:
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390-5820
Mailing Address - Country:US
Mailing Address - Phone:248-669-2830
Mailing Address - Fax:
Practice Address - Street 1:24133 GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48219-3014
Practice Address - Country:US
Practice Address - Phone:313-541-0794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302036810183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist