Organization
SCRIPTWAY PHARMACY LLC
Active
Other names
Scriptway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY SALEM (OWNER)
(734) 729-7979
Entity
Organization
Contact information
Practice address
1207 S WAYNE RD, WESTLAND, MI 48186-4362
(734) 729-7979
(734) 729-7323
Mailing address
1911 BEAVER ST, DEARBORN, MI 48128-1404
(734) 729-7979
(734) 729-7323
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009434
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127295
PK
—
Enumeration date
10/20/2010
Last updated
09/28/2016
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