Healthcare Provider Details

I. General information

NPI: 1568320745
Provider Name (Legal Business Name): VILLAGE PHARMACY WEST BLOOMFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 ORCHARD LAKE RD
WEST BLOOMFIELD MI
48322-3403
US

IV. Provider business mailing address

6565 ORCHARD LAKE RD
WEST BLOOMFIELD MI
48322-3403
US

V. Phone/Fax

Practice location:
  • Phone: 248-487-7019
  • Fax: 248-487-9409
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM NABIL ZAWAIDEH
Title or Position: PRESIDENT
Credential:
Phone: 248-487-7019