Most Relevant Information
Provider Data
NPI Number: | 1003421579 |
Provider Name: | ZIED SHAMMOUT |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 5302412808 |
Most Important Dates
Enumeration Date: | 09/11/2020 |
Last Updated: | 09/24/2021 |
Provider Practice Location
41460 HAGGERTY CIR S
CANTON
MI
481882227
Practice Location Phone/Fax
Phone: | 7344779848 |
Fax: |
Provider Mailing Location
41460 HAGGERTY CIR S
CANTON
MI
481882227
Provider Mailing Phone/Fax
Phone: | 8882825166 |
Fax: |