# BSW PHARMACY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wayne Professional Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174243570
- **Authorized official:** DOMINICK RUTHERFORD PHARMD (PHARMACIST IN CHARGE)
- **Authorized official phone:** (734) 728-8306

## Contact information

- **Practice address:** 34841 VETERANS PLZ, WAYNE, MI 48184-1733
- **Practice address phone:** (734) 728-8306
- **Practice address fax:** (734) 728-8506
- **Mailing address:** 34841 VETERANS PLZ, WAYNE, MI 48184-1733
- **Mailing address phone:** (734) 728-8306
- **Mailing address fax:** (734) 728-8506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2022
- **Last updated:** 08/29/2022