Organization
DRUG MAX INC
Active
Organization
DRUG MAX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEILA FAWAZ PHARMD (OWNER)
(313) 584-4600
Entity
Organization
Contact information
Practice address
5472 SCHAEFER RD, DEARBORN, MI 48126-3223
(323) 584-4600
(313) 584-3784
Mailing address
5472 SCHAEFER RD, DEARBORN, MI 48126-3223
(323) 584-4600
(313) 584-3784
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301005961
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2352209
NCPDP
MI
01
—
540H223660
BCBSM DME
MI
05
—
874668035
—
MI
Enumeration date
01/16/2007
Last updated
12/07/2015
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