Souhad Bazzi, PHARMD
Individual provider Active NPI Pharmacist · Greenville, MI
NPI 1447775622 · NPPES record last updated Aug 8, 2017
Key facts
- NPI
- 1447775622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302042184 (MI)
- Practice address
- 10772 W Carson City Rd
Greenville, MI 48838-9141 - Phone
- (616) 754-5203
- NPI assigned
- Aug 8, 2017
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302042184 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302042184 | MI | Yes |
Addresses
Primary practice location
10772 W Carson City Rd
Greenville, MI 48838-9141
Mailing address
3275 Centennial RDG Apt 203
Grand Rapids, MI 49546-5413
Phone (313) 522-0710
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2017. 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.