Organization
WAYNE CAMPUS PHARMACY LLC
Active
Organization
WAYNE CAMPUS PHARMACY LLC
Active
Other names
WAYNE CAMPUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAEF HAMAED RPH (CO-OWNER)
(305) 794-4117
Entity
Organization
Contact information
Practice address
1131 W WARREN AVE, DETROIT, MI 48201-3601
(313) 833-6000
(313) 833-7519
Mailing address
1131 W WARREN AVE, DETROIT, MI 48201-3601
(313) 833-6000
(313) 833-7519
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009673
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301009673
PHARMACY LICENSE NUMBER
MI
Enumeration date
10/19/2011
Last updated
03/23/2017
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