Provider Demographics
NPI:1235667536
Name:OMAIS, CHERINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHERINE
Middle Name:
Last Name:OMAIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 S MERRIMAN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-5541
Mailing Address - Country:US
Mailing Address - Phone:734-727-1040
Mailing Address - Fax:
Practice Address - Street 1:2001 S MERRIMAN RD STE 200
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5541
Practice Address - Country:US
Practice Address - Phone:734-727-1040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53357183500000X
MI5302038269183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist