Omega Pharmacy

LBN: Omega Pharmacy Llc
Omega Pharmacy is an health care organization with primary practice located at 420 W Huron St , Pontiac MI 48341-1425. The organization recently has 7 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Omega Pharmacy Llc can be contacted via phone (248) 481-9004, or through Abejide, Ayodeji via phone (586) 945-1778.

Contact Information

Primary practice address
420 W Huron St Pontiac MI 48341-1425
Phone: (248) 481-9004
Fax: (248) 481-9168
Website:
Map and Directions
Authorized official contact:
Name: Abejide, Ayodeji
Phone: (586) 945-1778

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301009758 Michigan
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1114290582
LBN Legal business name Omega Pharmacy Llc
DBA Doing business as Omega Pharmacy
Authorized official Abejide, Ayodeji
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2012
Last updated Dec 8th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114290582 NPPES
Michigan MEDICAID 1114290582
Michigan Other 2134037

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