NPI | 1326071572 |
---|---|
Doing Business As | ADVANCECARE PHARMACY |
Entity Type | Organization |
Authorized Contact | TRISTAN DAVID SCHUKRAFT CEO/CFO/Sec/Dir 818-231-0751 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Enumeration Date | 2006-07-09 |
Last Update Date | 2022-07-05 |