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Vivian Ibrahim
Pharmacist in Warren, Michigan
NPI 1407457609

Vivian Ibrahim is a Pharmacist based in Troy, MI. Vivian Ibrahim practices in Warren, MI. The NPI Number for Vivian Ibrahim is 1407457609 and holds a License No. 5302034136 (Michigan).

The current practice location address for Vivian Ibrahim is 29176 Van Dyke Ave, Warren, MI and can be reached out via phone at 586-467-0265 and via fax at 586-467-0259.

Location: 29176 Van Dyke Ave, Warren, MI, 48098-6547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407457609
Provider Name
Vivian Ibrahim
Credential
Provider Entity Type
Individual
Gender
Female
Address
29176 Van Dyke Ave, Warren, MI, 48098-6547
Phone Number
586-467-0265
Fax Number
586-467-0259
Provider Enumeration Date
11/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29176 Van Dyke Ave
City
Warren
State
Michigan
Zip
48093-6764
Phone Number
586-467-0265
Fax Number
586-467-0259
person
Provider Business Mailing Address Details
Address
29176 Van Dyke Ave
City
Warren
State
Michigan
Zip
48093-6764
Phone Number
586-467-0265
Fax Number
586-467-0259
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
5302034136 (Michigan)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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