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Organization

BSW PHARMACY SERVICES LLC

Active
Other names
WAYNE PROFESSIONAL PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINICK RUTHERFORD (PHARMACIST IN CHARGE)
(734) 728-8306
Entity
Organization

Contact information

Practice address
34841 VETERANS PLZ, WAYNE, MI 48184-1733
(734) 728-8306
(734) 728-8506
Mailing address
34841 VETERANS PLZ, WAYNE, MI 48184-1733
(734) 728-8306
(734) 728-8506

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009995
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2138536
PK
Enumeration date
01/15/2013
Last updated
08/29/2022
About Stedi
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Product
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  • Eligibility checks
  • EDI platform