Organization
ADVANCE CARE PHARMACY PC
Active
Other names
Advance Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULGHNI HASSAN DR OF PHARMACY (PHARMACIST/OWNER)
(313) 574-2119
Entity
Organization
Contact information
Practice address
24822 JOHN R RD, HAZEL PARK, MI 48030-1147
(248) 545-5515
(248) 545-5590
Mailing address
24822 JOHN R RD, HAZEL PARK, MI 48030-1147
(248) 545-5515
(248) 545-5590
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301009649
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131525
PK
—
Enumeration date
08/08/2011
Last updated
12/17/2015
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