Provider Demographics
NPI:1376268425
Name:CHARARA, ALAN ALI (RPH)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:ALI
Last Name:CHARARA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7380 ANDOVER DR # 2
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-1107
Mailing Address - Country:US
Mailing Address - Phone:313-899-8020
Mailing Address - Fax:
Practice Address - Street 1:800 ANN ARBOR RD W
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-2127
Practice Address - Country:US
Practice Address - Phone:734-737-0218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302414797183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist