Provider Demographics
NPI:1194036699
Name:GARABET, ALAA EDWAR (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ALAA
Middle Name:EDWAR
Last Name:GARABET
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 1:2136 SOMERVILLE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4291
Mailing Address - Country:US
Mailing Address - Phone:248-844-8938
Mailing Address - Fax:
Practice Address - Street 1:43034 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1722
Practice Address - Country:US
Practice Address - Phone:586-254-1021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302034294183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist