Organization
DEXTER PHARMACY AND MEDICAL SUPPLIES LLC
Active
Other names
Dexter Pharmacy and Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
JIHAD HAKKANI RPH (OWNER)
(313) 894-0300
Entity
Organization
Contact information
Practice address
9212 DEXTER AVE, DETROIT, MI 48206-1808
(313) 894-0300
(313) 894-0305
Mailing address
9212 DEXTER AVE, DETROIT, MI 48206-1808
(313) 894-0300
(313) 894-0305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301009346
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373669
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/28/2010
Last updated
07/15/2010
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