Provider Demographics
NPI:1871053991
Name:HAMADI, MARIAM (PHARMD)
Entity type:Individual
Prefix:
First Name:MARIAM
Middle Name:
Last Name:HAMADI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27493 6 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3834
Mailing Address - Country:US
Mailing Address - Phone:734-762-1500
Mailing Address - Fax:734-762-1515
Practice Address - Street 1:27493 6 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3834
Practice Address - Country:US
Practice Address - Phone:734-762-1500
Practice Address - Fax:734-762-1515
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-24
Last Update Date:2019-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302040904183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist