Organization
DIX DRUGS STORE CORP
Active
Organization
DIX DRUGS STORE CORP
Active
Other names
Dix Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
HASSANE FADLALLAH PHARMACIST RPH (PHARMACIST AND OWNER)
(313) 843-2400
Entity
Organization
Contact information
Practice address
10066 DIX, DEARBORN, MI 48120-1551
(313) 843-2400
(313) 843-2402
Mailing address
655 GOLFCREST, DEARBORN, MI 48124
(313) 843-2400
(313) 843-2402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5301006503
MI
333600000X
Pharmacy
—
MI
3336C0003X
Community/Retail Pharmacy
Primary
5301006503
MI
Other
Enumeration date
08/30/2006
Last updated
02/29/2016
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