Ahmad Abbas Abbas
Individual provider Active NPI Pharmacist · Detroit, MI
NPI 1487264362 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1487264362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302412815 (MI)
- Practice address
- 6001 W Outer Dr Ste 110
Detroit, MI 48235-2626 - Phone
- (313) 966-2979
- Fax
- (313) 736-4699
- NPI assigned
- Aug 5, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 5302412815 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302412815 | MI | Yes |
Addresses
Primary practice location
6001 W Outer Dr Ste 110
Detroit, MI 48235-2626
Mailing address
6001 W Outer Dr Ste 110
Detroit, MI 48235-2626
Phone (313) 966-2979
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. 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.