Provider Demographics
NPI:1659436087
Name:THE DOLCE GROUP
Entity Type:Organization
Organization Name:THE DOLCE GROUP
Other - Org Name:CANALIS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-737-4946
Mailing Address - Street 1:200 ARNET ST
Mailing Address - Street 2:STE 130
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-5753
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 ARNET ST
Practice Address - Street 2:STE 130
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-5753
Practice Address - Country:US
Practice Address - Phone:734-483-4313
Practice Address - Fax:734-483-1305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0004X
MI53010085533336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2369242OtherOTHER ID NUMBER-COMMERCIAL NUMBER
2369242OtherOTHER ID NUMBER