Individual provider · Type 1 NPI

Rami Boutros Ibrahim, PharmD, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1477651289 Active

Practice location

4201 St. Antoine, Uhc 9C
Detroit, MI 48201-1427

Fax (313) 966-0880

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X5302031866 (MI)
Pharmacotherapy Pharmacist 1835P1200X5302031866 (MI)
Student in an Organized Health Care Education/Training Program Primary 390200000X5151013993 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477651289

Rami Boutros Ibrahim, PharmD, DO's National Provider Identifier is 1477651289, issued on Sep 20, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on May 23, 2019.