Provider Demographics
NPI:1730371675
Name:ZOUEIN, NASSIB C (RPH)
Entity type:Individual
Prefix:
First Name:NASSIB
Middle Name:C
Last Name:ZOUEIN
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 1:37672 PROFESSIONAL CENTER DR
Mailing Address - Street 2:SUITE 130B
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1154
Mailing Address - Country:US
Mailing Address - Phone:734-432-2015
Mailing Address - Fax:734-432-2015
Practice Address - Street 1:37672 PROFESSIONAL CENTER DR
Practice Address - Street 2:SUITE 130B
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1154
Practice Address - Country:US
Practice Address - Phone:734-432-2015
Practice Address - Fax:734-432-2015
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020325531835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy