=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487738480
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AFFILIATED HEALTH SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/25/2006
-----------------------------------------------------
Last Update Date | 09/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 26850 PROVIDENCE PKWY SUITE 100
-----------------------------------------------------
City | NOVI
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48374-1213
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-465-4280
-----------------------------------------------------
Fax | 248-465-4893
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 30100 TELEGRAPH RD STE 200
-----------------------------------------------------
City | BINGHAM FARMS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48025-4516
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-298-1733
-----------------------------------------------------
Fax | 586-753-1155
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL PHARMACIST SPECIALIST
-----------------------------------------------------
Name | ROSEANNE PAGLIA
-----------------------------------------------------
Credential | PHARMD
-----------------------------------------------------
Telephone | 313-343-3945
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------