Provider Demographics
NPI:1053141580
Name:RAZOOQ, KARAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KARAM
Middle Name:
Last Name:RAZOOQ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15121 24 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-2109
Mailing Address - Country:US
Mailing Address - Phone:586-677-4015
Mailing Address - Fax:586-677-4015
Practice Address - Street 1:15121 24 MILE RD
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48315-2109
Practice Address - Country:US
Practice Address - Phone:586-677-4015
Practice Address - Fax:586-677-4015
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-12
Deactivation Date:2024-08-07
Deactivation Code:
Reactivation Date:2024-08-12
Provider Licenses
StateLicense IDTaxonomies
MI5302416589183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist