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FOX HILLS MEDI-MART DISCOUNT DRUG CENTER INC NPI 1588151112


NPI Information

NPI: 1588151112
Provider Name: FOX HILLS MEDI-MART DISCOUNT DRUG CENTER INC

Doing Business As: FOX HILLS MEDI-MART, LTD

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1821 N CAMPBELL RD
ROYAL OAK, MI
ZIP 48073
Phone: (248) 858-2225
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FOX HILLS MEDI-MART DISCOUNT DRUG CENTER INC is a long term care pharmacy pharmacy in Royal Oak, MI. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. FOX HILLS MEDI-MART DISCOUNT DRUG CENTER INC NPI is 1588151112. The provider is registered as an organization entity type.
The provider Is Doing Business As Fox Hills Medi-mart, Ltd.

The provider's business location address is:

1821 N CAMPBELL RD
ROYAL OAK, MI
ZIP 48073-237
Phone: (248) 858-2225
Fax: (248) 858-2527

The provider's authorized official is Wessam Yousef .
The authorized official title is President and has the following contact phone number (248) 858-2225.

The enumeration date for this NPI number is 4/19/2018 and was last updated on 2/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care Pharmacy5301003021MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12177107OTHERPK
22528957MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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