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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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