Organization
SOUTH DEARBORN PHARMACY,INC
Active
Organization
SOUTH DEARBORN PHARMACY,INC
Active
Other names
south dearborn pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMAD Y HAMZEH RPH (PRESIDENT)
(313) 841-2272
Entity
Organization
Contact information
Practice address
9925 DIX, SUITE # 106, DEARBORN, MI 48120-1593
(313) 841-2272
(313) 841-6715
Mailing address
9925 DIX, SUITE # 106, DEARBORN, MI 48120-1593
(313) 841-2272
(313) 841-6715
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301003724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2540791
—
MI
Enumeration date
05/20/2006
Last updated
01/19/2017
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