Organization
DEARBORN COMMUNITY CARE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL MOHSEN MOHSEN AL-SUBARI RPH (MEMBER)
(313) 558-2121
Entity
Organization
Contact information
Practice address
15120 MICHIGAN AVE, DEARBORN, MI 48126-3768
(313) 558-2121
(313) 558-2020
Mailing address
15120 MICHIGAN AVE, DEARBORN, MI 48126-3768
(313) 558-2121
(313) 558-2020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301011007
MI
Other
Enumeration date
09/30/2016
Last updated
02/05/2017
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