Organization · NPI-2

Pharmcare Pharmacy INC.

Preferred Provider Organization · Dearborn, MI

NPI number1114235652
StatusActive
Last updated in NPPESOct 19, 2010

Details

NPI
1114235652
Entity type
Organization (NPI-2)
Legal business name
Pharmcare Pharmacy INC.
Organization subpart
No
Enumeration date
Sep 17, 2010
Last updated
Oct 19, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305R00000X Preferred Provider Organization––Yes

Practice location

1022 N Telegraph Rd
Dearborn, MI 48128-1622

Phone 313-274-5000

Mailing address

1022 N Telegraph Rd
Dearborn, MI 48128-1622

Phone 313-274-5000

Authorized official

Mohamad H. Dakdouk
Owner
3132745000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Preferred Provider Organization providers in Dearborn, MI