Organization
DEARBORN FRESH PHARMACY INC
Active
Organization
DEARBORN FRESH PHARMACY INC
Active
Other names
New Max Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL HAWILY (OWNER)
(313) 455-1592
Entity
Organization
Contact information
Practice address
5472 SCHAEFER RD, DEARBORN, MI 48126-3223
(313) 584-4600
(313) 584-3784
Mailing address
13661 COLSON ST STE A, DEARBORN, MI 48126-3232
(313) 581-8801
(313) 581-8802
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009774
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133820
PK
—
Enumeration date
03/02/2012
Last updated
02/23/2022
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