Provider Demographics
NPI:1568045466
Name:SHAJIRA, HALIMEH MUSAID (RPH)
Entity Type:Individual
Prefix:DR
First Name:HALIMEH
Middle Name:MUSAID
Last Name:SHAJIRA
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 1:6227 KENDAL ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2146
Mailing Address - Country:US
Mailing Address - Phone:313-742-4759
Mailing Address - Fax:
Practice Address - Street 1:6227 KENDAL ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2146
Practice Address - Country:US
Practice Address - Phone:313-742-4759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302413297183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist