Provider Demographics
NPI:1760605943
Name:MUSLEH, JIHAD K (PHARMD)
Entity Type:Individual
Prefix:
First Name:JIHAD
Middle Name:K
Last Name:MUSLEH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:JOE
Other - Middle Name:K
Other - Last Name:MUSLEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9212 HURON RIVER DR
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-9611
Mailing Address - Country:US
Mailing Address - Phone:734-268-6302
Mailing Address - Fax:
Practice Address - Street 1:1255 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-1418
Practice Address - Country:US
Practice Address - Phone:734-433-0129
Practice Address - Fax:734-433-0147
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302031160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist