Organization
DEXTER PHARMACY INC
Active
Other names
Village Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN J. KNAAK (PHARMACY MANAGER)
(734) 668-9600
Entity
Organization
Contact information
Practice address
325 N MAPLE RD, ANN ARBOR, MI 48103-2824
(734) 668-9600
(734) 668-9218
Mailing address
325 N MAPLE RD, ANN ARBOR, MI 48103-2824
(734) 668-9600
(734) 668-9218
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301006740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2357982
NCPDP
MI
05
—
3446239
—
MI
Enumeration date
10/26/2005
Last updated
02/11/2008
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