Provider Demographics
NPI:1164148581
Name:ALKAHALI, EMAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMAN
Middle Name:
Last Name:ALKAHALI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3426
Mailing Address - Country:US
Mailing Address - Phone:313-808-5340
Mailing Address - Fax:
Practice Address - Street 1:G4007 S SAGINAW ST
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48529-1617
Practice Address - Country:US
Practice Address - Phone:810-742-7002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302414721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist