| NPI | 1487775862 |
|---|---|
| Doing Business As | ADVANCED SPECIALTY RX WEST |
| Entity Type | Organization |
| Authorized Contact | BASSAM YOUSSEF Owner 810-232-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301008587) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-08-26 |