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Western Wayne Pharmacy

Debarred entity
TypeCompany[sources]
NameWestern Wayne Pharmacy[sources]
Incorporation datenot available[sources]
Jurisdictionnot available[sources]
CountryUnited States[sources]
DescriptionLicense number: 531010913[sources]
NPI1962850248[sources]
Registration numbernot available[sources]
SectorPharmacy[sources]
AddressInkster, MI[sources]
Last changeLast processedFirst seen

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Data sources

US Michigan Medicaid Sanctioned Provider List4,008

Providers who have been terminated for cause from Michigan's Medicaid program.

United States · MDHHS


Source data IDs: us-npi-1962850248 · us-medmi-e263db5b6e525f927c6e2b6e9d9a6f79626301a2

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