Organization
PREMIUM PHARMACY LLC
Active
Organization
PREMIUM PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAFAA DAKHLALLAH HAKIM PHARM D (PHARMACIST)
(313) 209-3339
Entity
Organization
Contact information
Practice address
3808 MONROE ST, DEARBORN, MI 48124-3620
(313) 209-3339
(313) 586-9522
Mailing address
3808 MONROE ST, DEARBORN, MI 48124-3620
(313) 768-8494
(313) 586-9522
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
11/07/2014
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