Organization
DEARBORN COMMUNITY PHARMACY LLC
Active
Other names
independent community pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOBORE UGBOSU (MANAGER)
(313) 931-2133
Entity
Organization
Contact information
Practice address
8742 W WARREN AVE, DEARBORN, MI 48126-4043
(313) 931-2133
(313) 931-3509
Mailing address
8742 W WARREN AVE, DEARBORN, MI 48126-4043
(313) 931-2133
(313) 931-3509
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5301008886
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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