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NPI Code Detail

MEDICARE: MY CARE PHARMACY L.L.C.

MEDICARE: MY CARE PHARMACY L.L.C.
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

General Provider Information

NPI Number : 1225691157
Entity Type Code : Organization
Provider Name (Legal Business Name) : MY CARE PHARMACY L.L.C.
Provider Business Mailing Address
First Line : 6200 CHASE RD
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2108
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6200 CHASE RD
Second Line :
City : DEARBORN
State : MI
Zip : 48126-2108
Country : US
Telephone Number : 313-451-8730
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SAM OZEIR
Credential : PHARM D.
Telephone Number : 313-478-5634
Provider Enumeration Date : 04/16/2019
Last Update Date : 06/11/2019

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