| NPI | 1174243570 |
|---|---|
| Doing Business As | WAYNE PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DOMINICK RUTHERFORD Pharmacist In Charge 734-728-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |