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NPI Code Detail

MEDICARE: MY SOLUTION INC

MEDICARE: MY SOLUTION INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
33336C0003XCommunity/Retail Pharmacy5315053929MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12376588OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1336412550
Entity Type Code : Organization
Provider Name (Legal Business Name) : MY SOLUTION INC
Provider Business Mailing Address
First Line : 6204 MIDDLEBELT RD
Second Line :
City : GARDEN CITY
State : MI
Zip : 48135-2409
Country : US
Telephone Number : 734-552-6533
Fax Number :
Provider Business Practice Location Address
First Line : 6204 MIDDLEBELT RD
Second Line :
City : GARDEN CITY
State : MI
Zip : 48135-2409
Country : US
Telephone Number : 734-552-6533
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : KENECHUKWU MONPLAISIR
Credential :
Telephone Number : 734-552-6533
Provider Enumeration Date : 02/18/2012
Last Update Date : 10/23/2013

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Directions to “MY SOLUTION INC ” Practice Location

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