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Organization

ONECARE RX LLC

Active
Other names
OneCare Rx
Organization subpart
No

Provider details

NPI number
Authorized official
HANY BOUTROS (PHARMACIST/OWNER)
(734) 856-3113
Entity
Organization

Contact information

Practice address
7375 SECOR RD, SUITE A, LAMBERTVILLE, MI 48144-9737
(734) 856-3113
(734) 854-4936
Mailing address
PO BOX 796, LAMBERTVILLE, MI 48144-0796
(734) 856-3113
(734) 854-4936

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301009187
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2372605
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
03/31/2009
Last updated
10/22/2009
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