Organization
ONECARE LTC
Active
Other names
OneCare LTC
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE BOUTROS (PHARMACY DIRECTOR)
(248) 361-6868
Entity
Organization
Contact information
Practice address
1945 HEIDE DR STE A, TROY, MI 48084-5313
(248) 663-2273
(248) 663-2275
Mailing address
PO BOX 1239, BIRMINGHAM, MI 48012-1239
(248) 663-2273
(248) 663-2275
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301010707
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151819
PK
—
Enumeration date
05/06/2015
Last updated
09/19/2025
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