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

Vivian Ibrahim

Individual provider Pharmacist · NPI 1407457609

Vivian Ibrahim is a Pharmacist in Warren, 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

29176 Van Dyke Ave
Warren, MI 48093-6764
Phone: (586) 467-0265
Fax: (586) 467-0259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 5302034136 (MI)

Record details

NPI number1407457609
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address6331 Country Ridge Dr, Troy, MI 48098-6547

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