MEDICARE: WAYNE PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1861136343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAYNE PHARMACY INC

Provider Business Mailing Address
First Line	:	50429 INEPENDENCE ST
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-2117
Country	:	US
Telephone Number	:	734-729-6734
Fax Number	:

Provider Business Practice Location Address
First Line	:	50429 INDEPENDENCE ST
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-6735
Country	:	US
Telephone Number	:	734-729-6734
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HITESH PATEL
Credential	:
Telephone Number	:	201-306-8279

Provider Enumeration Date	:	04/21/2022
Last Update Date	:	09/09/2022

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Directions to “WAYNE PHARMACY INC ” Practice Location

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