| NPI | 1295987253 |
|---|---|
| Doing Business As | ADVANCED SPECIALTY RX |
| Entity Type | Organization |
| Authorized Contact | BASSAM YOUSSEF Owner 810-230-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301008902) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2021-10-12 |