Medlife Rx
LBN: Gomaa Llc
Medlife Rx is an health care organization with primary practice located at 2191 South Blvd Ste 1B , Auburn Hills MI 48326. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Gomaa Llc can be contacted via phone (248) 791-7566, or through Gomaa, Mohamed via phone (201) 952-0660.
Contact Information
Primary practice address
2191 South Blvd Ste 1B
Auburn Hills MI 48326
Phone: (248) 791-7566
Fax: (248) 791-7567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 5301010999 | Michigan |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1205282266 |
|---|---|
| LBN Legal business name | Gomaa Llc |
| DBA Doing business as | Medlife Rx |
| Authorized official | Gomaa, Mohamed PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2016 |
| Last updated | Jul 13th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205282266 | NPPES |
| Michigan | MEDICAID | 1205282266 | |
| Michigan | Other | 2160129 |
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