Provider Demographics
NPI:1952916074
Name:ALSABAGH, YOUSIF (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:YOUSIF
Middle Name:
Last Name:ALSABAGH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 CARDINAL RDG
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48324-3424
Mailing Address - Country:US
Mailing Address - Phone:248-990-6264
Mailing Address - Fax:
Practice Address - Street 1:6510 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-3011
Practice Address - Country:US
Practice Address - Phone:248-626-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302412939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist