Provider Demographics
NPI:1972197648
Name:AMERICAN STANDARD PHARMACEUTICALS
Entity Type:Organization
Organization Name:AMERICAN STANDARD PHARMACEUTICALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:RODI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLLI
Authorized Official - Suffix:
Authorized Official - Credentials:AGPCNP- BC
Authorized Official - Phone:586-883-4749
Mailing Address - Street 1:44068 RUSHCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-5900
Mailing Address - Country:US
Mailing Address - Phone:586-883-4749
Mailing Address - Fax:
Practice Address - Street 1:44068 RUSHCLIFFE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-5900
Practice Address - Country:US
Practice Address - Phone:586-883-4749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy