Organization
WAYNE PHARMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ABOU KHODR (OWNER)
(313) 777-7777
Entity
Organization
Contact information
Practice address
974 FORD AVE, WYANDOTTE, MI 48192
(313) 777-7778
Mailing address
974 FORD AVE, WYANDOTTE, MI 48192
(313) 777-7778
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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