Organization · Type 2 NPI

Advanced Physician Group LLC

Community/Retail Pharmacy · Dearborn, MI

NPI number 1689204471 Active

Practice location

13530 Michigan Ave # L2
Dearborn, MI 48126-3574

Call (734) 664-1147 Map

Mailing address

317 Montesano Park Dr
Imperial, MO 63052-2469

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1689204471
Entity type: Organization (Type 2)
Issued: Jan 21, 2020
Last updated: Jul 9, 2020
Status: Active

Other names

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Hannahs Faith In Humanity Pharmacy · doing business as
Hannahs Faith In Humanity Pharmacy · doing business as

Authorized official

Mr. Tarek Mazloum, RPH
Pharmacist
(734) 664-1147

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689204471

Advanced Physician Group LLC's National Provider Identifier is 1689204471, issued on Jan 21, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Dearborn, MI. The record was last updated on Jul 9, 2020.