Provider Demographics
NPI:1487716767
Name:ALZAGHIR, HUSSEIN M (RPH)
Entity type:Individual
Prefix:
First Name:HUSSEIN
Middle Name:M
Last Name:ALZAGHIR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 SCHAEFER RD
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1813
Mailing Address - Country:US
Mailing Address - Phone:313-581-6500
Mailing Address - Fax:313-581-8500
Practice Address - Street 1:6500 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1813
Practice Address - Country:US
Practice Address - Phone:313-581-6500
Practice Address - Fax:313-581-8500
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302030084183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist