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Organization
ADVANCED SPECIALTY RX LLC
Active
Organization
ADVANCED SPECIALTY RX LLC
Active
Other names
Advanced Specialty Rx
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM YOUSSEF (OWNER)
(810) 230-8300
Entity
Organization
Contact information
Practice address
4488 W BRISTOL RD STE 350, FLINT, MI 48507-3111
(810) 232-2700
(888) 246-0436
Mailing address
4488 W BRISTOL RD STE 350, FLINT, MI 48507-3111
(810) 232-2700
(888) 246-0436
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
5301008902
MI
3336M0003X
Managed Care Organization Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125139
PK
—
Enumeration date
10/21/2008
Last updated
10/12/2021
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