Organization
THE WELLNESS PLAN
Active
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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