Provider Demographics
NPI:1740812643
Name:BEGUM, AKLIMA (RPH)
Entity type:Individual
Prefix:
First Name:AKLIMA
Middle Name:
Last Name:BEGUM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1167 CHOPIN ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1815
Mailing Address - Country:US
Mailing Address - Phone:347-503-9414
Mailing Address - Fax:
Practice Address - Street 1:15521 W 7 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-2927
Practice Address - Country:US
Practice Address - Phone:313-272-3296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5315178781183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist