Organization
NAZIRKO LLC
Active
Organization
NAZIRKO LLC
Active
Other names
WEST VILLAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAHA ELNAZIR (PHARMACY MANAGER)
(313) 561-9700
Entity
Organization
Contact information
Practice address
2040 MONROE ST, SUITE 201, DEARBORN, MI 48124-2950
(313) 561-9700
(313) 561-6903
Mailing address
2040 MONROE ST, SUITE 201, DEARBORN, MI 48124-2950
(313) 561-9700
(313) 561-6903
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042116
PK
—
Enumeration date
01/24/2006
Last updated
06/18/2015
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