Organization
OAKMAN PLUS PHARMACY
Active
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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