Organization
SASCO DEXTER LLC
Active
Other names
Dexter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARNI SCHMID (MEMBER)
(612) 247-6429
Entity
Organization
Contact information
Practice address
2820 BAKER RD, DEXTER, MI 48130-1181
(734) 426-1600
(734) 426-6780
Mailing address
PO BOX 460, DEXTER, MI 48130-0460
(612) 247-6429
(815) 642-4358
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009844
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136383
PK
—
Enumeration date
07/10/2012
Last updated
08/16/2021
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