Azzouz, Angela

Azzouz, Angela is an individual health care provider with primary practice located at 47300 Pontiac Trl , Wixom MI 48393-2551. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Azzouz, Angela can be contacted via phone (248) 960-0352.

Contact Information

Primary practice address
47300 Pontiac Trl Wixom MI 48393-2551
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302045673 Michigan

Profile Details

NPI number 1336616176
LBN Legal business name Azzouz, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2018
Last updated Oct 30th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336616176 NPPES
Michigan MEDICAID 183500000X

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