Provider Demographics
NPI:1558079699
Name:QAYED, HAMZAH (PHARMD)
Entity Type:Individual
Prefix:
First Name:HAMZAH
Middle Name:
Last Name:QAYED
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 1:22918 MICHIGAN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2010
Mailing Address - Country:US
Mailing Address - Phone:313-406-4787
Mailing Address - Fax:313-406-4755
Practice Address - Street 1:22819 MICHIGAN AVE STE 101
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2007
Practice Address - Country:US
Practice Address - Phone:313-406-4787
Practice Address - Fax:313-406-4755
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302414666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist