Provider Demographics
NPI:1801113428
Name:NAJAR, LAITH GEORGE (R-PH)
Entity type:Individual
Prefix:
First Name:LAITH
Middle Name:GEORGE
Last Name:NAJAR
Suffix:
Gender:M
Credentials:R-PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5616 KINGSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-1460
Mailing Address - Country:US
Mailing Address - Phone:248-933-5066
Mailing Address - Fax:
Practice Address - Street 1:26020 COOLIDGE HWY
Practice Address - Street 2:
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1415
Practice Address - Country:US
Practice Address - Phone:248-545-8020
Practice Address - Fax:248-582-3794
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302410856183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist