Organization · NPI-2

Advanced Specialty Compound Rx LLC

Pharmacy, Compounding Pharmacy · Flint, MI

NPI number1194262568
StatusActive
Last updated in NPPESFeb 14, 2017

Details

NPI
1194262568
Entity type
Organization (NPI-2)
Legal business name
Advanced Specialty Compound Rx LLC
Organization subpart
No
Enumeration date
Jan 24, 2017
Last updated
Feb 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0004X Pharmacy, Compounding Pharmacy5301011022MIYes
333600000X Pharmacy––

Practice location

1260 S Linden Rd
Flint, MI 48532-3407

Phone 810-732-4449 · Fax 810-732-8188

Mailing address

1260 S Linden Rd
Flint, MI 48532-3407

Phone 810-732-4449 · Fax 810-732-8188

Authorized official

Bassam Youssef
Owner
8107324449

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