Organization Name: | RX MART INC |
NPI Number: | 1710077912 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALI M NASSER (CHIEF PHARMACIST) |
Mailing Address: | 9938 Harper Ave Detroit |
State: | MI US |
Postal Code: | 482133110 |
Phone Number: | 3139213536 |
Fax Number: | 3139218020 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 5301007091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |