Healthcare Provider Details

I. General information

NPI: 1467017814
Provider Name (Legal Business Name): HEALTH POINTE PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 01/21/2021
Certification Date: 01/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26000 HOOVER RD STE 107
WARREN MI
48089-1167
US

IV. Provider business mailing address

26000 HOOVER RD STE 107
WARREN MI
48089-1167
US

V. Phone/Fax

Practice location:
  • Phone: 586-859-5588
  • Fax:
Mailing address:
  • Phone: 586-859-5588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: YOUSSEF NAIM
Title or Position: OWNER
Credential:
Phone: 586-859-5588