Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairlane Medical Pharmacy Inc

Organization Pharmacy · NPI 1023309788

Fairlane Medical Pharmacy Inc is a Pharmacy in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6050 Greenfield Rd
Dearborn, MI 48126-6004
Phone: (313) 526-8000
Fax: (313) 526-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1023309788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Ibrahim — Member · (313) 526-8000
Other names Fairlane Medical Pharmacy
NPI enumeratedApril 28, 2011
Last updated in NPPESJune 22, 2011
Mailing addressPo Box 1147, Dearborn, MI 48121-1147

Other providers in Dearborn