Whalio Doctors

NPI 1023309788

Fairlane Medical Pharmacy INC

Organisation Community/Retail Pharmacy Dearborn, MI

Practice location

Address
6050 Greenfield Rd, Dearborn, MI 48126-6004
Phone
(313) 526-8000
Fax
(313) 526-8001
Mailing address
PO Box 1147, Dearborn, MI 48121-1147

Authorised official

Name
Mohammed Ibrahim
Title
Member
Phone
(313) 526-8000

Registered specialties (3)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 5301009570 (MI)
Pharmacy
Suppliers Taxonomy 333600000X
Long Term Care Pharmacy
Suppliers Taxonomy 3336L0003X

Registry record

NPI
1023309788
Entity type
Organization
NPI issued
28 Apr 2011
Record last updated
22 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.