<Unavail>

LBN: South Dearborn Pharmacy,Inc
<Unavail> is an health care organization with primary practice located at 9925 Dix Suite # 106, Dearborn MI 48120-1593. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. South Dearborn Pharmacy,Inc can be contacted via phone (313) 841-2272, or through Hamzeh, Mohammad Y via phone (313) 841-2272.

Contact Information

Primary practice address
9925 Dix Suite # 106 Dearborn MI 48120-1593
Phone: (313) 841-2272
Fax: (313) 841-6715
Website:
Map and Directions
Authorized official contact:
Name: Hamzeh, Mohammad Y RPH
Phone: (313) 841-2272

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5301003724 Michigan

Profile Details

NPI number 1609820836
LBN Legal business name South Dearborn Pharmacy,Inc
DBA Doing business as <Unavail>
Authorized official Hamzeh, Mohammad Y RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Jan 19th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609820836 NPPES
Michigan MEDICAID 2540791

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