Provider Demographics
NPI:1063202422
Name:YOUSIF, SABA (RPH)
Entity type:Individual
Prefix:
First Name:SABA
Middle Name:
Last Name:YOUSIF
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36418 WEBER DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4653
Mailing Address - Country:US
Mailing Address - Phone:586-804-1145
Mailing Address - Fax:
Practice Address - Street 1:3020 E ATHERTON RD
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48529-1002
Practice Address - Country:US
Practice Address - Phone:810-888-8004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302416018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist