Organization · NPI-2

Advanced Specialty Rx LLC

Pharmacy, Long Term Care Pharmacy · Flint, MI

NPI number1295987253
StatusActive
Last updated in NPPESOct 12, 2021

Details

NPI
1295987253
Entity type
Organization (NPI-2)
Legal business name
Advanced Specialty Rx LLC
Organization subpart
No
Enumeration date
Oct 21, 2008
Certification date
Oct 12, 2021
Last updated
Oct 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336L0003X Pharmacy, Long Term Care Pharmacy5301008902MIYes
3336S0011X Pharmacy, Specialty Pharmacy––
3336C0004X Pharmacy, Compounding Pharmacy––
3336M0003X Pharmacy, Managed Care Organization Pharmacy––

Other names

  • Advanced Specialty Rx (Doing Business As)

Practice location

4488 W Bristol Rd Ste 350
Flint, MI 48507-3111

Phone 810-232-2700 · Fax 888-246-0436

Mailing address

4488 W Bristol Rd Ste 350
Flint, MI 48507-3111

Phone 810-232-2700 · Fax 888-246-0436

Authorized official

Bassam Youssef
Owner
8102308300

Is something wrong?

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