NPI | 1457166886 |
---|---|
Doing Business As | ADVANCE AXCESS PHARMACY - ADVANCE COMMUNITY HEALTH |
Entity Type | Organization |
Authorized Contact | TONCHELLE RENEE LUCAS Credentialing Manager 919-250-2978 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2025-02-12 |
Last Update Date | 2025-02-12 |