Organization
OAKMAN PLUS PHARMACY
Active
Other names
OAKMAN PLUS HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOJEEB SHAHBAIN RPH (PHCY MGR)
(313) 300-8082
Entity
Organization
Contact information
Practice address
5237 OAKMAN BLVD, DEARBORN, MI 48126-4045
(313) 582-9700
(313) 852-9701
Mailing address
22236 DOLPHIN CT, DEARBORN HEIGHTS, MI 48127-2555
(313) 300-8082
(734) 485-9300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301008725
MI
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370435
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2370435
—
MI
Enumeration date
11/02/2007
Last updated
10/28/2009
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