Provider Demographics
NPI:1952060519
Name:DARWICHE, HUSSEIN (CPHT)
Entity Type:Individual
Prefix:
First Name:HUSSEIN
Middle Name:
Last Name:DARWICHE
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22480 KELLY RD STE 101A
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-2623
Mailing Address - Country:US
Mailing Address - Phone:586-222-2224
Mailing Address - Fax:586-879-0478
Practice Address - Street 1:22480 KELLY RD STE 101A
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-2623
Practice Address - Country:US
Practice Address - Phone:586-222-2224
Practice Address - Fax:586-879-0478
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303022977183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician