Pro Care Pharmacy LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

5310100867 Issued in MI

Legal business name

PRO CARE PHARMACY LLC

Practice address

6468 Greenfield Rd
Dearborn, MI 48126-2061

Phone

(313) 582-0600

Fax

(313) 582-0606

NPI assigned

Jan 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohamed Sohoubah

Title

President

Phone

(313) 467-4164

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PRO CARE PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1750566451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6468 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6468 GREENFIELD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262061",
            "telephone_number": "313-582-0600",
            "fax_number": "313-582-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "SOHOUBAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-467-4164"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MI",
            "license": "5310100867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2370562",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Specialty Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.