Organization
VILLAGE PHARMACY COMPOUNDING INC
Active
Other names
The Village Pharmacy and Compounding Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
GABE ZAWAIDEH RPH (PRESIDENT)
(248) 644-6337
Entity
Organization
Contact information
Practice address
3592 W MAPLE RD, BLOOMFIELD HILLS, MI 48301-3371
(248) 644-6337
(248) 644-1027
Mailing address
3592 WEST MAPLE RD., BLOOMFIELD HILLS, MI 48301
(248) 644-6337
(248) 644-1027
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010728
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114317393
—
MI
01
—
2149862
PK
—
Enumeration date
01/27/2015
Last updated
07/19/2018
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