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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