NPI 1023309788
Fairlane Medical Pharmacy INC
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
Pharmacy
Long Term Care Pharmacy
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.