Active Infusion
LBN: Oct Pharmacy, L.L.C.
Active Infusion is an health care organization with primary practice located at 25219 Dequindre Rd , Madison Heights MI 48071-4211. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty.
Oct Pharmacy, L.L.C. can be contacted via phone (248) 336-7051, or through Masood, Sohail via phone (800) 435-3020.
Contact Information
Primary practice address
25219 Dequindre Rd
Madison Heights MI 48071-4211
Phone: (248) 336-7051
Fax: (248) 589-2644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X |
Profile Details
| NPI number | 1518971928 |
|---|---|
| LBN Legal business name | Oct Pharmacy, L.L.C. |
| DBA Doing business as | Active Infusion |
| Authorized official | Masood, Sohail PHARM. D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Apr 28th, 2020 - about 4 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 | 1518971928 | NPPES |
| Michigan | Other | 540F31038 | BCBSM PIN |
| Michigan | Other | 470G300310 | BCBSM PIN |
| Michigan | MEDICAID | 4620050 | BCBSM PIN |
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