Provider Demographics
NPI:1508351594
Name:GHAMRAOUI, ZIAD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZIAD
Middle Name:
Last Name:GHAMRAOUI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 E BENNETT ST
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1204
Mailing Address - Country:US
Mailing Address - Phone:734-316-2162
Mailing Address - Fax:734-316-2165
Practice Address - Street 1:75 E BENNETT ST
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1204
Practice Address - Country:US
Practice Address - Phone:734-316-2162
Practice Address - Fax:734-316-2165
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020357271835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist