Organization
WATERFORD PHARMACY
Active
Organization
WATERFORD PHARMACY
Active
Other names
Waterford Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY SALEM (OWNER/PHARMACIST)
(313) 999-9499
Entity
Organization
Contact information
Practice address
5812 HIGHLAND, WATERFORD, MI 48328
(313) 891-2253
Mailing address
26630 CECILE ST, DEARBORN HEIGHTS, MI 48127-3330
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2371944
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/26/2008
Last updated
11/26/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up