Organization
WAASI LLC
Active
Other names
Village Drug Shop
Organization subpart
No
Provider details
NPI number
Authorized official
ZAHID LATIF (OWNER)
(517) 521-3484
Entity
Organization
Contact information
Practice address
113 W GRAND RIVER RD, WEBBERVILLE, MI 48892-5120
(517) 521-3484
(517) 521-3488
Mailing address
14864 LIRI DR, STERLING HEIGHTS, MI 48312-5772
(517) 521-3484
(517) 521-3488
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009934
MI
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137865
PK
—
05
—
2321127
—
MI
Enumeration date
09/12/2006
Last updated
12/02/2022
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