Organization
DIX BORO PHARMACY PC
Active
Other names
DIXBORO VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAAD KOUZA (OWNER)
(734) 214-1234
Entity
Organization
Contact information
Practice address
5770 PLYMOUTH RD, ANN ARBOR, MI 48105-9312
(734) 214-1234
(734) 214-1235
Mailing address
5770 PLYMOUTH RD, ANN ARBOR, MI 48105-9312
(734) 214-1234
(734) 214-1235
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009615
MI
Other
Enumeration date
07/10/2011
Last updated
11/07/2017
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