Provider Demographics
NPI:1275158370
Name:METZ, RAWAN (RPH)
Entity type:Individual
Prefix:
First Name:RAWAN
Middle Name:
Last Name:METZ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:RAWAN
Other - Middle Name:
Other - Last Name:ALJEHANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1045 S GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3501
Mailing Address - Country:US
Mailing Address - Phone:586-839-7342
Mailing Address - Fax:
Practice Address - Street 1:1045 S GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3501
Practice Address - Country:US
Practice Address - Phone:586-954-4905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2025-07-31
Deactivation Date:2021-02-23
Deactivation Code:
Reactivation Date:2025-07-31
Provider Licenses
StateLicense IDTaxonomies
MI5315101705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist