Provider Demographics
NPI:1982036067
Name:ALSAFARI, GHAZI (PHARMD)
Entity Type:Individual
Prefix:
First Name:GHAZI
Middle Name:
Last Name:ALSAFARI
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 1:16546 E 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-2401
Mailing Address - Country:US
Mailing Address - Phone:586-533-2835
Mailing Address - Fax:586-533-2831
Practice Address - Street 1:16546 E 9 MILE RD
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-2401
Practice Address - Country:US
Practice Address - Phone:586-533-2835
Practice Address - Fax:586-533-2831
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302035534183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist