# AVG INC

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

## Provider details

- **NPI number:** 1326071572
- **Authorized official:** TRISTAN DAVID SCHUKRAFT (CEO/CFO/SEC/DIR)
- **Authorized official phone:** (818) 231-0751

## Contact information

- **Practice address:** 8700 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4508
- **Practice address phone:** (323) 475-1475
- **Mailing address:** 8700 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4508
- **Mailing address phone:** (323) 475-1475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 07/05/2022