Provider Demographics
NPI:1982356234
Name:MICHAIL, HELPIS M (PHARMACIST)
Entity Type:Individual
Prefix:MS
First Name:HELPIS
Middle Name:M
Last Name:MICHAIL
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:MS
Other - First Name:HELPIS
Other - Middle Name:M
Other - Last Name:MICHAIL-YOUSSEF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:2022 HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6807
Mailing Address - Country:US
Mailing Address - Phone:248-408-2363
Mailing Address - Fax:248-280-2224
Practice Address - Street 1:1380 COOLIDGE HWY STE 125
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7068
Practice Address - Country:US
Practice Address - Phone:248-280-2222
Practice Address - Fax:248-280-2224
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302027136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist