Organization
MEDWELL HEALTH SOLUTIONS
Active
Organization
MEDWELL HEALTH SOLUTIONS
Active
Other names
MEDWELL HEALTH SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN BAISA (OWNER)
(248) 270-8246
Entity
Organization
Contact information
Practice address
27211 LAHSER RD STE 100, SOUTHFIELD, MI 48034-8469
(248) 270-8246
Mailing address
27211 LAHSER RD, SUITE 100, SOUTHFIELD, MI 48034-8469
(248) 270-8246
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010513
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146919
PK
—
Enumeration date
07/18/2014
Last updated
07/18/2014
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