IndividualActive
Anthony Ibrahim, PHARMD
NPI 1700401064 · Institutional Pharmacy · Farmington Hills, MI
Provider details
- NPI number
- 1700401064
- Entity type
- Individual
- Primary specialty
- Institutional PharmacySuppliers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5302042501 (MI)
Practice location
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone: (947) 521-8363
Fax: (248) 471-8498
Mailing address
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Registry dates
- Enumerated
- 2020-06-12
- Last updated
- 2020-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.