Healthcare Provider Details

I. General information

NPI: 1164991055
Provider Name (Legal Business Name): HEALTHPLUS PHARMACY OF HOWELL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 04/17/2021
Certification Date: 04/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 SOUTH LATSON RD SUITE 100
HOWELL MI
48843-7658
US

IV. Provider business mailing address

1225 SOUTH LATSON RD SUITE 100
HOWELL MI
48843-7658
US

V. Phone/Fax

Practice location:
  • Phone: 517-579-2797
  • Fax: 517-579-2383
Mailing address:
  • Phone: 517-579-2797
  • Fax: 517-579-2383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. VINAY SHAH
Title or Position: OWNER
Credential:
Phone: 517-579-2797