Luna F Alfakhoury
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Southgate, MI
NPI 1104463967 · NPPES record last updated Nov 28, 2019
Key facts
- NPI
- 1104463967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 19157080652 (MI)
- Practice address
- 16705 Fort St
Southgate, MI 48195-1442 - Phone
- (734) 286-9220
- NPI assigned
- Nov 28, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19157080652 | MI | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 19157080652 | MI | Yes |
Addresses
Primary practice location
16705 Fort St
Southgate, MI 48195-1442
Mailing address
44478 Bayview Ave Apt 17211
Clinton TWP, MI 48038-7134
Phone (586) 846-7442
Other providers in Southgate, MI
- Jessica Irene Albee
- Anyia Albright
- Ali Aldarrajy
- Renita Alexander
- Morgan Irene Alexis
- Wafa Sami Alfasih
- Mohammed Ali
- All About Orthodontics Southgate, PC
- Celeste Patricia Allen
- Celia K Allen
All providers in Southgate, MI · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.