Provider Demographics
| NPI: | 1164991055 |
|---|---|
| Name: | HEALTHPLUS PHARMACY OF HOWELL INC |
| Entity type: | Organization |
| Organization Name: | HEALTHPLUS PHARMACY OF HOWELL INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | VINAY |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | SHAH |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 517-579-2797 |
| Mailing Address - Street 1: | 1225 SOUTH LATSON RD |
| Mailing Address - Street 2: | SUITE 100 |
| Mailing Address - City: | HOWELL |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 48843-7658 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 517-579-2797 |
| Mailing Address - Fax: | 517-579-2383 |
| Practice Address - Street 1: | 1225 SOUTH LATSON RD |
| Practice Address - Street 2: | SUITE 100 |
| Practice Address - City: | HOWELL |
| Practice Address - State: | MI |
| Practice Address - Zip Code: | 48843-7658 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 517-579-2797 |
| Practice Address - Fax: | 517-579-2383 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2018-11-20 |
| Last Update Date: | 2021-04-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 3336C0003X | Suppliers | Pharmacy | Community/Retail Pharmacy |
| No | 3336L0003X | Suppliers | Pharmacy | Long Term Care Pharmacy |