Organization
CENTAURA PHARMACY INC
Active
Other names
Nadia's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NADIA HIDER RPH (PHARMACIST)
(313) 584-7272
Entity
Organization
Contact information
Practice address
12818 W WARREN AVE, DEARBORN, MI 48126-1533
(313) 584-7272
(313) 584-7737
Mailing address
12818 W WARREN AVE, DEARBORN, MI 48126-1533
(313) 584-7272
(313) 584-7737
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2653875
—
MI
Enumeration date
08/31/2006
Last updated
08/26/2024
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