| NPI | 1104409564 |
|---|---|
| Doing Business As | ADVANCE CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JODY DUNGAN Pharmacist In Charge 606-676-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-09-22 |