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
—
—
3336L0003X
Long Term Care Pharmacy
Primary
5301008902
MI
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
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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