Provider Demographics
NPI:1255936696
Name:MAKKI, HELANA HASSAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HELANA
Middle Name:HASSAN
Last Name:MAKKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:HELANA
Other - Middle Name:HASSAN
Other - Last Name:MAKKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:225 S VERNON ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-1395
Mailing Address - Country:US
Mailing Address - Phone:313-231-5041
Mailing Address - Fax:
Practice Address - Street 1:10915 BELLEVILLE RD
Practice Address - Street 2:
Practice Address - City:VAN BUREN TWP
Practice Address - State:MI
Practice Address - Zip Code:48111-1386
Practice Address - Country:US
Practice Address - Phone:734-697-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53024123771835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist