Provider Demographics
NPI:1326492471
Name:POINTE PHARMACY PLLC
Entity Type:Organization
Organization Name:POINTE PHARMACY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABUSUFIAN
Authorized Official - Middle Name:ELTAIB
Authorized Official - Last Name:ELTAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:810-280-0103
Mailing Address - Street 1:5494 S DORT HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-4483
Mailing Address - Country:US
Mailing Address - Phone:810-866-4520
Mailing Address - Fax:810-866-4519
Practice Address - Street 1:5494 S DORT HWY
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-4483
Practice Address - Country:US
Practice Address - Phone:810-866-4520
Practice Address - Fax:810-866-4519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53010109163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy