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NPI Code Detail

MEDICARE: SAM OZIER PHARM D.

MEDICARE: SAM OZIER PHARM D.
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
13336C0003XCommunity/Retail PharmacyMI

General Provider Information

NPI Number : 1417429572
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAM OZIER PHARM D.
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 : 313-478-5634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2018
Last Update Date : 04/11/2019

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Directions to “ SAM OZIER PHARM D.” Practice Location

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