Organization
WAYNE CITY PHARMACY LLC
Active
Organization
WAYNE CITY PHARMACY LLC
Active
Other names
Pharmor Pharmacy- Wayne City
Organization subpart
No
Provider details
NPI number
Authorized official
HAIL ABDULLAH RPH (CHIEF PHARMACIST & OWNER)
(734) 326-6600
Entity
Organization
Contact information
Practice address
4811 VENOY RD, WAYNE, MI 48184-2675
(734) 326-6600
(734) 326-1270
Mailing address
4811 VENOY RD, WAYNE, MI 48184-2675
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009019
MI
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2372213
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/18/2008
Last updated
03/20/2009
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