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General NPI Number Information
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NPI Number | 1114809605
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Entity Type | Organization
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Legal Business Name | WELLSCRIPT PHARMACY LLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 36400 WOODWARD AVE STE 60
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City | BLOOMFIELD TOWNSHIP
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State | MI
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Zip | 48304-0911
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Country | US
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Telephone | 248-792-7059
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Fax | 248-792-7216
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Provider Business Mailing Address
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Address Line | 36400 WOODWARD AVE STE 60
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City | BLOOMFIELD TOWNSHIP
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State | MI
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Zip | 48304-0911
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Country | US
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Telephone | 248-792-7059
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Fax | 248-792-7216
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Authorized Official
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Title or Position | OWNER/PIC
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Name | MOUHAMAD FARHAT
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Credential | PHARMD
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Telephone | 313-999-0373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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