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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