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

Mr. Samson Imalele

Individual provider Pharmacist · NPI 1619509270

Mr. Samson Imalele is a Pharmacist in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

12907 E Jefferson Ave
Detroit, MI 48215-2751
Phone: (313) 926-8918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302025574 (MI)

Record details

NPI number1619509270
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2020
Last updated in NPPESFebruary 11, 2020
Certification dateFebruary 11, 2020
Mailing address12907 E Jefferson Ave, Detroit, MI 48215-2751

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