Organization
DEARBORN APOTHECARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANA KADDOUH (OWNER)
(313) 908-2212
Entity
Organization
Contact information
Practice address
14715 FORD RD, DEARBORN, MI 48126-3040
(313) 908-2212
(313) 908-2608
Mailing address
14715 FORD RD, DEARBORN, MI 48126-3040
(313) 908-2212
(313) 908-2608
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
07/13/2021
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