| NPI | 1619381134 |
|---|---|
| Doing Business As | ADVANCED RX PHARMACY 025 |
| Entity Type | Organization |
| Authorized Contact | KATI GAINOUS Pharmacy Program Administrator 925-621-2902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 0000005360) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-11-03 |