| NPI | 1255560512 |
|---|---|
| Doing Business As | ADVANCE OUTCOME MANAGEMENT PHARMACY SERVICES |
| Entity Type | Organization |
| Authorized Contact | CLARENCE LEE LLOYD President/CFO 714-799-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA 49946) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: CA 49946) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA 49946) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA 49946) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 49946) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: CA 99606) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2010-07-09 |