Provider Demographics
NPI:1851059133
Name:ACHKAR, HASHEM ADNAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HASHEM
Middle Name:ADNAN
Last Name:ACHKAR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7526 N GULLEY RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3811
Mailing Address - Country:US
Mailing Address - Phone:131-340-2252
Mailing Address - Fax:
Practice Address - Street 1:7526 N GULLEY RD
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3811
Practice Address - Country:US
Practice Address - Phone:313-402-2521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-03
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302412265183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302412265Medicaid