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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