Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hassan Abou-Taam

Individual provider Pharmacist · NPI 1063054625

Hassan Abou-Taam is a Pharmacist in Wayne, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
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Practice location Address checks out

4020 Venoy Rd Ste 900A
Wayne, MI 48184-1869
Phone: (734) 729-2882
Fax: (734) 729-6546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302412095 (MI)

Record details

NPI number1063054625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 15, 2019
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

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