Organization
DEARBORN COMMUNITY PHARMACY LLC
Active
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
Update your record
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