Organization
THE WELLNESS PLAN
Active
Other names
THE WELLNESS PLAN MEDICAL CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
NABIL SHAMMAS RPH (PHARMACY SUPERVISOR)
(248) 967-6604
Entity
Organization
Contact information
Practice address
21040 GREENFIELD RD, OAK PARK, MI 48237-3025
(248) 967-6604
(248) 967-6506
Mailing address
21040 GREENFIELD RD, OAK PARK, MI 48237-3025
(248) 967-6604
(248) 967-6506
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301003783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1887996
—
MI
01
—
2043167
PK
—
Enumeration date
09/12/2006
Last updated
06/03/2016
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