| NPI | 1902051345 |
|---|---|
| Doing Business As | WATERFORD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAMMY SALEM Owner/Pharmacist 313-999-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301009006) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |