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General NPI Number Information
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NPI Number | 1568320745
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Entity Type | Organization
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Legal Business Name | VILLAGE PHARMACY WEST BLOOMFIELD, INC.
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 6565 ORCHARD LAKE RD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3403
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Country | US
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Telephone | 248-487-7019
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Fax | 248-487-9409
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Provider Business Mailing Address
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Address Line | 6565 ORCHARD LAKE RD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MR. ADAM NABIL ZAWAIDEH
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Credential |
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Telephone | 248-224-0525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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