Organization
MIHOMERX LLC
Active
Other names
MiHomeRx
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ROEDER (CHIEF CLINICAL OFFICER)
(989) 274-2649
Entity
Organization
Contact information
Practice address
515 N WASHINGTON AVE, 5TH FLOOR, SAGINAW, MI 48607-1385
(989) 754-1400
(989) 754-2500
Mailing address
515 N WASHINGTON AVE, 5TH FLOOR, SAGINAW, MI 48607-1385
(989) 754-1400
(989) 754-2500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
5301009796
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2376730
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/18/2012
Last updated
05/08/2012
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