| NPI | 1093002115 |
|---|---|
| Doing Business As | DIXBORO VILLAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAAD KOUZA Owner 734-214-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009615) |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2017-11-07 |