Most Relevant Information
Provider Data
| NPI Number: | 1003497827 |
| Provider Name: | NOOR KHANAFER |
| Entity Type: | Individual |
| Taxonomy Code: | 3336C0003X |
| Specialty: | Pharmacy |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2021 |
| Last Updated: | 04/15/2021 |
Provider Practice Location
2590 W GRAND BLVD
DETROIT
MI
482081238
Practice Location Phone/Fax
| Phone: | 3138754457 |
| Fax: |
Provider Mailing Location
576 BERWYN ST
DEARBORN HEIGHTS
MI
481273735
Provider Mailing Phone/Fax
| Phone: | 3134181300 |
| Fax: |