Provider Information for 1487775862
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
LINDEN PHARMACY LLC
Other Names:Doing Business As:ADVANCED SPECIALTY RX WESTOrganization Subpart: NO
NPI: 1487775862
Last Updated: 2016-08-26
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1487775862 | ||||||||||||
Enumeration Date | 2007-04-03 | ||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||
Status | Active | ||||||||||||
Authorized Official Information | Name: BASSAM YOUSSEF RPh Title: OWNER Phone: 8102322700 | ||||||||||||
Mailing Address | 1676 VIEWPOND DR SE STE 9B KENTWOOD, MI 49508-4994 United States Phone: 616-427-3158 | Fax:616-454-1555 | ||||||||||||
Primary Practice Address | 1676 VIEWPOND DR SE STE 9B KENTWOOD, MI 49508-4994 United States Phone: 616-427-3158 | Fax:616-454-1555 | ||||||||||||
Secondary Practice Address(es) | |||||||||||||
Health Information Exchange |
| ||||||||||||
Other Identifiers |
| ||||||||||||
Taxonomy |
|