| NPI | 1396863478 |
|---|---|
| Doing Business As | ADVANCED RX & COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JACOB GAVRONSKY Phrm Dir 904-448-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH18462) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2017-02-20 |