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 | 2024-11-15 |