OrganizationActive
Advanced Physician Group LLC
NPI 1689204471 · Community/Retail Pharmacy · Dearborn, MI
Provider details
- NPI number
- 1689204471
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tarek Mazloum, Pharmacist(734) 664-1147
Specialties & taxonomies
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Practice location
13530 Michigan Ave # L2
Dearborn, MI 48126-3574
Phone: (734) 664-1147
Approximate (ZIP-level) locationGet directions
Mailing address
317 Montesano Park Dr
Imperial, MO 63052-2469
Other names (DBA / former)
- Doing business as
- Hannahs Faith in Humanity Pharmacy
- Doing business as
- Hannahs Faith in Humanity Pharmacy
Registry dates
- Enumerated
- 2020-01-21
- Last updated
- 2020-07-09
- Certified
- 2020-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.