# ADVANCED PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174830475
- **Authorized official:** GREGORY SANTULLI (PRESIDENT)
- **Authorized official phone:** (770) 339-1190

## Contact information

- **Practice address:** 350 FEASTER RD STE D, GREENVILLE, SC 29615-6176
- **Practice address phone:** (770) 339-1190
- **Practice address fax:** (888) 610-3138
- **Mailing address:** 1576 ATKINSON RD, LAWRENCEVILLE, GA 30043-5701
- **Mailing address phone:** (770) 339-1190
- **Mailing address fax:** (888) 901-2030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 14847 | SC | Yes |

## Other

- **Enumeration date:** 09/08/2010
- **Last updated:** 04/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2127115 | PK | — |