NPI | 1982054383 |
---|---|
Doing Business As | DEARBORN RX PHARMACY |
Entity Type | Organization |
Authorized Contact | KETAN SAGGAR Hd Of Phcy Ops, Phcy Mgr, PIC, AO 313-655-6052 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010958) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-06-16 |
Last Update Date | 2016-11-08 |