Organization
WAYNE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMAD G. DIRANI (MANAGING MEMBER)
(734) 525-6622
Entity
Organization
Contact information
Practice address
8275 N. WAYNE RD. SUITE B, WESTLAND, MI 48154
(734) 525-6622
(734) 525-6681
Mailing address
8275 N WAYNE RD STE B, WESTLAND, MI 48185-1143
(734) 525-6622
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301011234
MI
Other
Enumeration date
09/18/2017
Last updated
06/16/2018
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