Provider Demographics
NPI:1912151002
Name:BIOMED HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:BIOMED HEALTH SOLUTIONS LLC
Other - Org Name:BIOMED HEALTH SOLUTIONS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SOHOUBAH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:248-663-3388
Mailing Address - Street 1:23815 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-7738
Mailing Address - Country:US
Mailing Address - Phone:248-663-3390
Mailing Address - Fax:877-791-7779
Practice Address - Street 1:23815 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-7738
Practice Address - Country:US
Practice Address - Phone:248-663-3390
Practice Address - Fax:877-791-7779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
MI53010089823336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2117814OtherPK