| NPI | 1790106458 |
|---|---|
| Doing Business As | ADVANCED RX PHARMACY 034 |
| Entity Type | Organization |
| Authorized Contact | KATI GAINOUS Pharmacy Program Administrator 925-621-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009976) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2015-06-11 |