Provider Demographics
NPI:1417665159
Name:ONEWAY HAGER CARE LLC
Entity Type:Organization
Organization Name:ONEWAY HAGER CARE LLC
Other - Org Name:MAJESTY CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHAR
Authorized Official - Prefix:
Authorized Official - First Name:AFAFF
Authorized Official - Middle Name:MOHAMED AHMED
Authorized Official - Last Name:HAGERAHMA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:313-310-7494
Mailing Address - Street 1:4570 WALWIT ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3072
Mailing Address - Country:US
Mailing Address - Phone:313-310-7494
Mailing Address - Fax:
Practice Address - Street 1:4407 LIVERNOIS AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48210-2437
Practice Address - Country:US
Practice Address - Phone:313-262-6541
Practice Address - Fax:313-262-6542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-11
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy