Dina Issa

NPI #1013548114 in Southfield, Michigan

Provider Information

NPI Number: 1013548114
Entity Type: Individual
Name: Dina Issa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jan 28, 2020
Last Updated: Jan 28, 2020

Practice Location

Address: 26026 W 12 MILE RD # OAD
City: Southfield
State: Michigan
ZIP Code: 48034-1783
Phone: (248) 350-0280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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