Plaza Pharmacy in Roseville - Managed Care Organization Pharmacy

Plaza Pharmacy - NPI 1740291384

Plaza Pharmacy is a Managed Care Organization Pharmacy in Roseville, Michigan. Plaza Pharmacy practices all healthcare services and medical treatments related to Managed Care Organization Pharmacy. The NPI Number for Plaza Pharmacy is 1740291384. The last update date is 2020-08-22.

Plaza Pharmacy's current location address is 30711 Utica Rd, Roseville, Michigan. You can contact this provider via phone number 5867905357. The mailing address for Plaza Pharmacy is 30711 Utica Rd, Roseville, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Plaza Pharmacy
Address 30711 Utica Rd, Roseville, Michigan
Phone Number 5867905357
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Harris Fred
Credentials RPH
Telephone Number 5867905357

NPI Number Detail

NPI Number 1740291384
Provider Enumeration Date 2006-08-10
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 30711 Utica Rd
City Roseville
State Michigan (MI)
Post Code 480661522
Phone Number 5867905357
Fax Number

Provider's Primary Taxonomy Detail

Speciality Managed Care Organization Pharmacy
Taxonomy 3336M0003X
Definition:
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2368442 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Plaza Pharmacy

What is the unique identifier code issued to Plaza Pharmacy by the Centers for Medicare & Medicaid Services?

The Plaza Pharmacy has been assigned the NPI (National Provider Identifier) 1740291384. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Plaza Pharmacy?

The Plaza Pharmacy is physically situated at 30711 Utica Rd, in the city of Roseville, state of MI, with the postal code 480661522.

What is the area of specialization for Plaza Pharmacy, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Plaza Pharmacy is Managed Care Organization Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336M0003X.

On what date did the Centers for Medicare & Medicaid Services issue the 1740291384 to Plaza Pharmacy?

The Plaza Pharmacy received its 1740291384 assignment from the Centers for Medicare & Medicaid Services on 2006-08-10.

As of what date were the details pertaining to Plaza Pharmacy last refreshed?

The information related to the Plaza Pharmacy, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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