Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WISSAM H FAWAZ, BS PHARM
Deactivated Sole ProprietorMR. WISSAM H FAWAZ, BS PHARM is a Pharmacist healthcare provider located in TRENTON, Michigan. NPI 1720094410 is deactivated in the NPPES registry. Verify at CMS.
Pharmacist · TRENTON, MI
This NPI has been deactivated.
The record was deactivated on November 7, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1720094410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (0.26849315068493 yrs)
- Last Updated
- Jul 29, 2011
- Deactivated
- Nov 7, 2006
- License
-
5302031504 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1675 KINGSWAY CTTRENTON, MI, 481831958Browse MI providers · Browse ZIP 48183
- Phone
- 7344933212
- Fax
- 7342381557
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in TRENTON, MI
| Name | Credential | NPI |
|---|---|---|
| RICHARD M DMITRUCHINA | R.PH. | 1275582926 |
| MR. PETAR DIMOVICH | R.PH. | 1609980614 |
| MR. JAMES JOSEPH GIORDANO | RPH | 1467540492 |
| MRS. MANDA LOUISE FERNANDEZ | RPH | 1578645545 |
| DR. RACHEL LOUISE HENEGAR | PHARM.D. | 1720160161 |
| MR. RICHARD GROSSMAN | RPH | 1063598308 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.