Provider Demographics
NPI:1609463231
Name:ALKEILANI, ASMAA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ASMAA
Middle Name:
Last Name:ALKEILANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21098 PRESTWICK
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-4805
Mailing Address - Country:US
Mailing Address - Phone:734-846-8352
Mailing Address - Fax:
Practice Address - Street 1:21098 PRESTWICK
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-4805
Practice Address - Country:US
Practice Address - Phone:734-846-8352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302412583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist