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General NPI Number Information
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NPI Number | 1417008376
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Entity Type | Organization
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Legal Business Name | WESTLAND PHARMACY INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6149 N WAYNE RD
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City | WESTLAND
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State | MI
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Zip | 48185-7128
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Country | US
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Telephone | 734-467-5662
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Fax | 734-467-1253
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Provider Business Mailing Address
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Address Line | 6149 N WAYNE RD
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City | WESTLAND
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State | MI
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Zip | 48185-7128
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Country | US
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Telephone | 734-467-5662
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Fax | 734-467-1253
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALI EL-KHATIB
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Credential | RPH
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Telephone | 734-467-5662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 5301007741
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License Number State | MI
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