Provider Demographics
NPI:1407504384
Name:RIZK, SAJID HAMID (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:SAJID
Middle Name:HAMID
Last Name:RIZK
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 REUTER ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2262
Mailing Address - Country:US
Mailing Address - Phone:313-455-2881
Mailing Address - Fax:
Practice Address - Street 1:624 E 9 MILE RD STE C
Practice Address - Street 2:
Practice Address - City:HAZEL PARK
Practice Address - State:MI
Practice Address - Zip Code:48030-1842
Practice Address - Country:US
Practice Address - Phone:248-955-1991
Practice Address - Fax:248-955-1799
Is Sole Proprietor?:No
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302413066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist