Provider Demographics
NPI:1821549742
Name:VILLAGE SCRIPT INC
Entity Type:Organization
Organization Name:VILLAGE SCRIPT INC
Other - Org Name:VILLAGE SCRIPT EAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WISSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-320-6003
Mailing Address - Street 1:5728 SCHAEFER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2298
Mailing Address - Country:US
Mailing Address - Phone:313-581-4626
Mailing Address - Fax:313-581-4623
Practice Address - Street 1:5728 SCHAEFER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2298
Practice Address - Country:US
Practice Address - Phone:313-581-4626
Practice Address - Fax:313-581-4623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy