MEDICARE: POMG LLC

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
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1689524340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POMG LLC

Provider Business Mailing Address
First Line	:	401 W MORGAN RD
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-9109
Country	:	US
Telephone Number	:	248-982-6970
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 W MORGAN RD
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-9109
Country	:	US
Telephone Number	:	248-982-6970
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL MILLER
Credential	:
Telephone Number	:	248-982-6970

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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Directions to “POMG LLC ” Practice Location

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