# ONECARE RX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OneCare Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952543399
- **Authorized official:** HANY BOUTROS (PHARMACIST/OWNER)
- **Authorized official phone:** (734) 856-3113

## Contact information

- **Practice address:** 7375 SECOR RD, SUITE A, LAMBERTVILLE, MI 48144-9737
- **Practice address phone:** (734) 856-3113
- **Practice address fax:** (734) 854-4936
- **Mailing address:** PO BOX 796, LAMBERTVILLE, MI 48144-0796
- **Mailing address phone:** (734) 856-3113
- **Mailing address fax:** (734) 854-4936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 5301009187 | MI | Yes |

## Other

- **Enumeration date:** 03/31/2009
- **Last updated:** 10/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2372605 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |