Healthcare Provider Details

I. General information

NPI: 1891806394
Provider Name (Legal Business Name): ADVANCED PHARMACY & NUTRITION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 HURON ST
NORTH BRANCH MI
48461-6122
US

IV. Provider business mailing address

3960 HURON ST PO BOX 319
NORTH BRANCH MI
48461-6122
US

V. Phone/Fax

Practice location:
  • Phone: 810-688-3090
  • Fax: 810-688-3791
Mailing address:
  • Phone: 810-688-3090
  • Fax: 810-688-3791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberL710512
License Number StateMI

VIII. Authorized Official

Name: MR. JAMES MICHAEL SADLER
Title or Position: PRESIDENT
Credential: RPH.
Phone: 810-688-3090