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

Sameh Mousa

Individual provider Pharmacist · NPI 1235723800

Sameh Mousa is a Pharmacist in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

1716 W Milham Ave
Portage, MI 49024-1230
Phone: (269) 861-6518
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302041394 (MI)

Record details

NPI number1235723800
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 24, 2021
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing address1152 Bryant Dr, East Lansing, MI 48823-2442

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