Provider Demographics
NPI:1659940195
Name:BENYAMEEN, SEHAM SAMIR SOLIMAN (RPH)
Entity Type:Individual
Prefix:
First Name:SEHAM
Middle Name:SAMIR SOLIMAN
Last Name:BENYAMEEN
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 1:1136 LAKE JASON DR
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48386-3866
Mailing Address - Country:US
Mailing Address - Phone:248-346-7630
Mailing Address - Fax:
Practice Address - Street 1:1136 LAKE JASON DR
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386-3866
Practice Address - Country:US
Practice Address - Phone:248-346-7630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-19
Last Update Date:2021-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302044183183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist