Provider Demographics
NPI:1821490046
Name:ABDULHUSEIN, YUSUF HASSANALI (RPH)
Entity Type:Individual
Prefix:
First Name:YUSUF
Middle Name:HASSANALI
Last Name:ABDULHUSEIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:YUSUF
Other - Middle Name:HASSANALI
Other - Last Name:ABDULHUSEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:20372 PURLINGBROOK ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1841
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20372 PURLINGBROOK ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1841
Practice Address - Country:US
Practice Address - Phone:248-730-0552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035267183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist