| NPI | 1508103292 |
|---|---|
| Doing Business As | WAYNE PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DOMINICK RUTHERFORD Pharmacist In Charge 734-728-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009995) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2022-08-29 |