Organization
VILLAGE PHARMACY COMPOUNDING INC
Active
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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