Provider Demographics
NPI:1740023944
Name:ABUDLNAFE, SAFA
Entity type:Individual
Prefix:
First Name:SAFA
Middle Name:
Last Name:ABUDLNAFE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 WILLOWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4356
Mailing Address - Country:US
Mailing Address - Phone:248-277-6817
Mailing Address - Fax:
Practice Address - Street 1:1875 WILLOWOOD RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4356
Practice Address - Country:US
Practice Address - Phone:248-277-6817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302416037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist