Organization
ADVANCE CARE PHARMACY PC
Active
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
Update your record
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