NPI 1013548114

Dina Issa

Practitioner Pharmacist Southfield, MI

Practice location

Address: 26026 W 12 Mile Rd # Oad, Southfield, MI 48034-1783
Phone: (248) 350-0280

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302035352 (MI)

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Registry record

NPI: 1013548114
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2020
Record last updated: 28 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.