Organization
VERNOR PHARMACY PLLC
Active
Other names
VERNOR PHARMACY PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD H. DAKDOUK (OWNER)
(313) 663-5858
Entity
Organization
Contact information
Practice address
2117 SPRINGWELLS ST STE B, DETROIT, MI 48209-1507
(313) 395-2887
(313) 395-2889
Mailing address
7649 W VERNOR HWY, DETROIT, MI 48209-1513
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5301011498
—
MI
Enumeration date
11/27/2018
Last updated
03/16/2022
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