Healthcare Provider Details

I. General information

NPI: 1528494978
Provider Name (Legal Business Name): AC INVESTMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2013
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17731 E WARREN AVE
DETROIT MI
48224-1329
US

IV. Provider business mailing address

17731 E WARREN AVE
DETROIT MI
48224-1329
US

V. Phone/Fax

Practice location:
  • Phone: 313-308-4500
  • Fax: 313-499-5471
Mailing address:
  • Phone: 313-308-4500
  • Fax: 313-499-5471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301010636
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: YOUSSEF SROUR
Title or Position: OWNER
Credential:
Phone: 313-308-4500