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Contact Information

ADVANCED RX LLC
838 4TH AVE
LAKE ODESSA, MI48849-1054
 Phone: 616-374-3190
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ADVANCED RX LLC

NPI # 1144749425
LBN Legal business name ADVANCED RX LLC
Authorized official FADI NASERDEAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2017
Last updated 09/12/2025 - About 9 months ago
Identifiers
MI License # PENDING
MI Medicaid PENDING
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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