Organization
DIX BORO PHARMACY PC
Active
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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