# LINDEN PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Specialty Rx West
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487775862
- **Authorized official:** BASSAM YOUSSEF RPH (OWNER)
- **Authorized official phone:** (810) 232-2700

## Contact information

- **Practice address:** 1676 VIEWPOND DR SE STE 9B, KENTWOOD, MI 49508-4994
- **Practice address phone:** (616) 427-3158
- **Practice address fax:** (616) 454-1555
- **Mailing address:** 1676 VIEWPOND DR SE STE 9B, KENTWOOD, MI 49508-4994
- **Mailing address phone:** (616) 427-3158
- **Mailing address fax:** (616) 454-1555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 5301008587 | MI | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 08/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2042616 | PK | — |
| 05 | — | 4988141 | — | MI |