| NPI | 1164866752 |
|---|---|
| Doing Business As | ADVANCED RX PHARMACY 022 |
| Entity Type | Organization |
| Authorized Contact | KATI GAINOUS Pharmacy Program Administrator 925-621-2902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: KY P07561) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-07-01 |