Organization
ADRIAN PHARMACY LLC
Active
Other names
Adrian Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BASSAM YOUSSEF (OWNER)
(313) 485-9722
Entity
Organization
Contact information
Practice address
1325 N MAIN ST STE D, ADRIAN, MI 49221-1721
(517) 759-3500
(517) 207-6094
Mailing address
1325 N MAIN ST STE D, ADRIAN, MI 49221-1721
(517) 759-3500
(517) 207-6094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301010644
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149802
PK
—
Enumeration date
03/25/2015
Last updated
03/25/2015
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