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Organization
ADVANCED PHARMACY GROUP INC.
Active
Organization
ADVANCED PHARMACY GROUP INC.
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
TONY IBRAHIM (CEO)
(760) 987-6796
Entity
Organization
Contact information
Practice address
15555 MAIN ST STE D8, HESPERIA, CA 92345-3423
(760) 948-1000
(760) 948-2000
Mailing address
15555 MAIN ST STE D8, HESPERIA, CA 92345-3423
(760) 948-1000
(760) 948-2000
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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