| NPI | 1649470220 |
|---|---|
| Doing Business As | ADVANCED PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JODY FENELON Vice President Of Compliance 815-985-4873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MD PW0304) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-11-12 |