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NPI Code Detail

MEDICARE: AC INVESTMENT LLC

MEDICARE: AC INVESTMENT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0004XCompounding Pharmacy
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy5301010636MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12151161OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528494978
Entity Type Code : Organization
Provider Name (Legal Business Name) : AC INVESTMENT LLC
Provider Business Mailing Address
First Line : 17731 E WARREN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48224-1329
Country : US
Telephone Number : 313-308-4500
Fax Number : 313-499-5471
Provider Business Practice Location Address
First Line : 17731 E WARREN AVE
Second Line :
City : DETROIT
State : MI
Zip : 48224-1329
Country : US
Telephone Number : 313-308-4500
Fax Number : 313-499-5471
Authorized Official
Title or Position : OWNER
Name : YOUSSEF SROUR
Credential :
Telephone Number : 313-308-4500
Provider Enumeration Date : 09/17/2013
Last Update Date : 09/03/2025

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Directions to “AC INVESTMENT LLC ” Practice Location

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