Ghada Abdallah, RPH
Individual provider Active NPI Pharmacist · Grosse Pointe Park, MI
NPI 1740414903 · NPPES record last updated Feb 24, 2012
Key facts
- NPI
- 1740414903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302032699 (MI)
- Practice address
- 15126 Kercheval Ave
Grosse Pointe Park, MI 48230-1360 - Phone
- (313) 822-0100
- Fax
- (313) 822-0101
- NPI assigned
- May 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302032699 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Pharmacy Inc | Current | Accepting new patients | |
| Park Pharmacy SCS LLC | Current | Accepting new patients |
Locations
15126 Kercheval Ave
Grosse Pointe Park, MI 48230
Phone (313) 822-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302032699 | MI | Yes |
Addresses
Primary practice location
15126 Kercheval Ave
Grosse Pointe Park, MI 48230-1360
Mailing address
15126 Kercheval Ave
Grosse Pointe Park, MI 48230-1360
Phone (313) 822-0100
Other providers in Grosse Pointe Park, MI
- 5 Pointes Counseling and Consulting, PLLC
- A Caring Approach LLC
- Affectrix Wholesale LLC
- Munther I. Ajlouni
- Ashley Elizabeth Alexander
- Brenda Yvette Allen
- Dana M Alpern
All providers in Grosse Pointe Park, MI · Pharmacist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2012. 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.