Provider Demographics
NPI:1912444985
Name:SMA PATIENT CARE LLC
Entity Type:Organization
Organization Name:SMA PATIENT CARE LLC
Other - Org Name:SOMERSET SPECIALTY PHARMACY ROCHESTER HILLS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:NABIL
Authorized Official - Last Name:YOUSSEF
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:248-841-5106
Mailing Address - Street 1:2708 S ROCHESTER RD
Mailing Address - Street 2:STE 204
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4577
Mailing Address - Country:US
Mailing Address - Phone:248-841-5106
Mailing Address - Fax:248-288-2224
Practice Address - Street 1:6864 MERRICK DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-1750
Practice Address - Country:US
Practice Address - Phone:248-841-5106
Practice Address - Fax:248-288-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MITBD3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy