Provider Demographics
NPI:1801257498
Name:ALHASCHEMY, ALI
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:ALHASCHEMY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1693 S WESTNEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-1928
Mailing Address - Country:US
Mailing Address - Phone:269-459-9648
Mailing Address - Fax:269-459-9716
Practice Address - Street 1:1693 S WESTNEDGE AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-1928
Practice Address - Country:US
Practice Address - Phone:269-459-9648
Practice Address - Fax:269-459-9716
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-10
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301010668333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy