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Organization
LINDEN PHARMACY LLC
Active
Organization
LINDEN PHARMACY LLC
Active
Other names
Advanced Specialty Rx West
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM YOUSSEF RPH (OWNER)
(810) 232-2700
Entity
Organization
Contact information
Practice address
1676 VIEWPOND DR SE STE 9B, KENTWOOD, MI 49508-4994
(616) 427-3158
(616) 454-1555
Mailing address
1676 VIEWPOND DR SE STE 9B, KENTWOOD, MI 49508-4994
(616) 427-3158
(616) 454-1555
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
5301008587
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042616
PK
—
05
—
4988141
—
MI
Enumeration date
04/03/2007
Last updated
08/26/2016
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