=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710083092
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AFFILIATED HEALTH SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2006
-----------------------------------------------------
Last Update Date | 09/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18000 W 9 MILE RD STE 410
-----------------------------------------------------
City | SOUTHFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48075
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-395-6100
-----------------------------------------------------
Fax | 248-395-6120
-----------------------------------------------------
=====================================================
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 PHARMACY SPECIALIST
-----------------------------------------------------
Name | ROSEANNE ELIZABETH PAGLIA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 313-343-3945
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number | 5301008342
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------