Organization
ADVANCED PHARMACY PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI NASERDEAN (PRESIDENT)
(313) 624-3016
Entity
Organization
Contact information
Practice address
5728 SCHAEFER RD, DEARBORN, MI 48126-2298
(313) 624-3016
(313) 582-6717
Mailing address
5728 SCHAEFER RD, DEARBORN, MI 48126-2298
(313) 624-3016
(313) 582-6717
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5301007103
MI
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2360674
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2360674
—
MI
Enumeration date
08/31/2006
Last updated
02/19/2010
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