Organization
DURA CORP
Active
Organization
DURA CORP
Active
Other names
THE MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
RAWAN KHADER RPH (OWNER PHARMACIST)
(586) 268-6266
Entity
Organization
Contact information
Practice address
3979 17 MILE RD, STERLING HEIGHTS, MI 48310-6835
(586) 268-6266
(586) 268-6113
Mailing address
3979 17 MILE RD, STERLING HEIGHTS, MI 48310-6835
(586) 268-6266
(586) 268-6113
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
5301006377
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2355382
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
3218681
—
MI
Enumeration date
08/20/2006
Last updated
03/07/2023
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