Organization
WESTERN WAYNE PHARMACY LLC
Active
Organization
WESTERN WAYNE PHARMACY LLC
Active
Other names
Western Wayne Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WAHID MAKKI (OWNER, AO)
(313) 402-7663
Entity
Organization
Contact information
Practice address
2700 HAMLIN BLVD, INKSTER, MI 48141-2206
(313) 914-3434
(313) 914-3673
Mailing address
2700 HAMLIN BLVD, INKSTER, MI 48141-2206
(313) 914-3434
(313) 914-3673
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010913
MI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962850248
—
MI
01
—
2160269
PK
—
Enumeration date
05/27/2016
Last updated
08/30/2019
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