Individual provider · Type 1 NPI

Mohamed Ali Fakherddine, PHARM D CANDIDATE

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

NPI number 1487238028 Active

Practice location

100 Cherry St SE
Grand Rapids, MI 49503-4526

Call (616) 965-8200 Map

Mailing address

220 Ferris Dr
Big Rapids, MI 49307-2740

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1487238028

Mohamed Ali Fakherddine, PHARM D CANDIDATE's National Provider Identifier is 1487238028, issued on May 10, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 10, 2021.