Most Relevant Information
Provider Data
| NPI Number: | 1003648387 |
| Provider Name: | MOHAMMED MUSTAFIZUR RAHMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302416288 |
Most Important Dates
| Enumeration Date: | 08/15/2024 |
| Last Updated: | 08/15/2024 |
Provider Practice Location
812 E SAGINAW HWY
GRAND LEDGE
MI
488378410
Practice Location Phone/Fax
| Phone: | 5176271240 |
| Fax: |
Provider Mailing Location
11443 MEADOWBROOK DR
WARREN
MI
480936555
Provider Mailing Phone/Fax
| Phone: | 3134092192 |
| Fax: |