Healthcare Provider Details

I. General information

NPI: 1710923107
Provider Name (Legal Business Name): ASAP RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 02/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12699 FARLEY
REDFORD MI
48239-2642
US

IV. Provider business mailing address

12699 FARLEY
REDFORD MI
48239-2642
US

V. Phone/Fax

Practice location:
  • Phone: 313-532-4500
  • Fax: 313-532-3011
Mailing address:
  • Phone: 313-532-4500
  • Fax: 313-532-3011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number5301008284
License Number StateMI

VIII. Authorized Official

Name: MARK MUSA
Title or Position: OWNER
Credential: MANAGER
Phone: 313-532-4500