Most Relevant Information
Provider Data
| NPI Number: | 1003215781 |
| Provider Name: | MOUNA AMIRA |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302039786 |
Most Important Dates
| Enumeration Date: | 08/18/2014 |
| Last Updated: | 08/18/2014 |
Provider Practice Location
37165 S GROESBECK HWY
CLINTON TWP
MI
480362315
Practice Location Phone/Fax
| Phone: | 2485261869 |
| Fax: |
Provider Mailing Location
PO BOX 71275
MADISON HEIGHTS
MI
480710275
Provider Mailing Phone/Fax
| Phone: | 2485261869 |
| Fax: |