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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Dearborn Rx Pharmacy | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License number: 5301010958 | [sources] | |||
| NPI | 1982054383 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | Group | [sources] | |||
| Address | Dearborn, MI | [sources] | |||
| Last change | Last processed | First seen | |||
Providers who have been terminated for cause from Michigan's Medicaid program.
United States · MDHHS
us-medmi-2764031ef0c6cc9692e6f5f6f86caee4c8798e6d · us-npi-1982054383For experts: raw data explorer
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