Provider Demographics
NPI:1689982423
Name:POINTE PHARMACY INC
Entity Type:Organization
Organization Name:POINTE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R.PH /PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIMOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-790-2790
Mailing Address - Street 1:4617 THE HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4955
Mailing Address - Country:US
Mailing Address - Phone:248-790-2790
Mailing Address - Fax:586-776-6551
Practice Address - Street 1:20853 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE WOODS
Practice Address - State:MI
Practice Address - Zip Code:48236-1456
Practice Address - Country:US
Practice Address - Phone:248-790-2790
Practice Address - Fax:586-776-6551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy