Organization
VILLAGE PHARMACY COMPOUNDING 4 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX DIKHOW (OWNER)
(248) 632-7409
Entity
Organization
Contact information
Practice address
21510 HARRINGTON ST STE 1E-100, CLINTON TOWNSHIP, MI 48036-2377
(586) 737-3344
Mailing address
21510 HARRINGTON ST STE 1E-100, CLINTON TOWNSHIP, MI 48036-2377
(586) 737-3344
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
03/14/2023
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