Provider Demographics
NPI:1730715343
Name:MUSLEMANI, FARAH (PHARMD)
Entity type:Individual
Prefix:
First Name:FARAH
Middle Name:
Last Name:MUSLEMANI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26233 SHEAHAN DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-4117
Mailing Address - Country:US
Mailing Address - Phone:313-614-2650
Mailing Address - Fax:
Practice Address - Street 1:117 W 14 MILE RD
Practice Address - Street 2:
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-1965
Practice Address - Country:US
Practice Address - Phone:248-439-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-14
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302412105183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist