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Organization
ADVANCED RX CORONA LLC
Active
Organization
ADVANCED RX CORONA LLC
Active
Other names
ADVANCED CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MANISHKUMAR TRIKAMBHAI PATEL (MEMBER)
(951) 256-8800
Entity
Organization
Contact information
Practice address
320 BONNIE CIR, CORONA, CA 92878-4374
(951) 256-8800
(951) 284-4594
Mailing address
320 BONNIE CIR, CORONA, CA 92878-4374
(951) 256-8800
(951) 284-4594
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY60560
BOARD OF PHARMACY
CA
Enumeration date
09/03/2014
Last updated
03/06/2025
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