Organization
OSMAN OSMAN
Active
Other names
LONGWAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
OSMAN OSMAN RPH (OWNER)
(810) 239-8000
Entity
Organization
Contact information
Practice address
2700 LONGWAY BLVD, SUITE B, FLINT, MI 48503-2190
(810) 239-8000
(810) 762-9004
Mailing address
PO BOX 100, FLINT, MI 48501-0100
(810) 239-8000
(810) 762-9004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008343
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368151
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
4858924
—
MI
Enumeration date
05/09/2006
Last updated
12/17/2009
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