Provider Demographics
NPI:1114809605
Name:WELLSCRIPT PHARMACY LLC
Entity type:Organization
Organization Name:WELLSCRIPT PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:MOUHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHAT
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:313-999-0373
Mailing Address - Street 1:36400 WOODWARD AVE STE 60
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48304-0911
Mailing Address - Country:US
Mailing Address - Phone:248-792-7059
Mailing Address - Fax:248-792-7216
Practice Address - Street 1:36400 WOODWARD AVE STE 60
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48304-0911
Practice Address - Country:US
Practice Address - Phone:248-792-7059
Practice Address - Fax:248-792-7216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy