Advanced Rx Llc

LBN: Advanced Rx Llc
Advanced Rx Llc is an health care organization with primary practice located at 838 4Th Ave , Lake Odessa MI 48849-1054. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Advanced Rx Llc can be contacted via phone (616) 374-3190, or through Naserdean, Fadi via phone (313) 680-3000.

Contact Information

Primary practice address
838 4Th Ave Lake Odessa MI 48849-1054
Phone: (616) 374-3190
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Naserdean, Fadi PHARM.D, MD
Phone: (313) 680-3000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PENDING Michigan

Profile Details

NPI number 1144749425
LBN Legal business name Advanced Rx Llc
DBA Doing business as
Authorized official Naserdean, Fadi PHARM.D, MD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2017
Last updated Jun 24th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144749425 NPPES
Michigan MEDICAID PENDING

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