Provider Demographics
NPI:1811272511
Name:ALKATIB, ABEER SHABA (RPH)
Entity type:Individual
Prefix:MRS
First Name:ABEER
Middle Name:SHABA
Last Name:ALKATIB
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:ALKATIB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3000 COMMERCE XING
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48390-3082
Mailing Address - Country:US
Mailing Address - Phone:248-529-2305
Mailing Address - Fax:248-529-2323
Practice Address - Street 1:3000 COMMERCE XING
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48390-3082
Practice Address - Country:US
Practice Address - Phone:248-529-2305
Practice Address - Fax:248-529-2323
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302028310183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist