Provider Demographics
NPI:1447925110
Name:YONO, SAMER RIYADH (PHARMD)
Entity type:Individual
Prefix:
First Name:SAMER
Middle Name:RIYADH
Last Name:YONO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:SAMER
Other - Middle Name:
Other - Last Name:HALAQ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2036 CRICHTON CT
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-3682
Mailing Address - Country:US
Mailing Address - Phone:586-819-9920
Mailing Address - Fax:
Practice Address - Street 1:4775 24TH AVE
Practice Address - Street 2:
Practice Address - City:FORT GRATIOT
Practice Address - State:MI
Practice Address - Zip Code:48059-3475
Practice Address - Country:US
Practice Address - Phone:810-385-2110
Practice Address - Fax:810-385-2165
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53024136361835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy