# ONECARE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** onecare pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356584346
- **Authorized official:** PIERRE BOUTROS RPH (PHARMACIST/OWNER)
- **Authorized official phone:** (248) 361-6868

## Contact information

- **Practice address:** 1744 W MAPLE RD, STE B, BIRMINGHAM, MI 48009-1545
- **Practice address phone:** (248) 361-6868
- **Practice address fax:** (248) 817-2297
- **Mailing address:** PO BOX 1239, BIRMINGHAM, MI 48012-1239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 5301009101 | MI | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 10/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2119733 | PK | — |