Organization · NPI-2

Advanced Rx INC

Pharmacy, Community/Retail Pharmacy · Los Angeles, CA

NPI number1366616005
StatusActive
Last updated in NPPESMay 4, 2009

Details

NPI
1366616005
Entity type
Organization (NPI-2)
Legal business name
Advanced Rx INC
Organization subpart
No
Enumeration date
Apr 14, 2008
Last updated
May 4, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY49031CAYes
3336C0004X Pharmacy, Compounding Pharmacy––

Other names

  • Alvarado Discount Pharmacy (Doing Business As)

Practice location

1107 S Alvarado St
Ste 103
Los Angeles, CA 90006-4184

Phone 213-387-6702 · Fax 231-387-6703

Mailing address

13351 Riverside Dr Ste D
Ste 353
Sherman Oaks, CA 91423-2542

Authorized official

Joseph Kohan
Cfo
3109220272

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