# ADVANCED FAMILY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED FAMILY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831439967
- **Authorized official:** MR. RICHARD HALL (PRESIDENT/OWNER)
- **Authorized official phone:** (559) 222-8303

## Contact information

- **Practice address:** 5191 N 6TH ST, FRESNO, CA 93710-7502
- **Practice address phone:** (559) 222-8303
- **Practice address fax:** (559) 222-1082
- **Mailing address:** 5191 N 6TH ST, FRESNO, CA 93710-7502
- **Mailing address phone:** (559) 222-8303
- **Mailing address fax:** (559) 222-1082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | PHY 51992 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | PHY 51992 | CA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/27/2013
- **Last updated:** 06/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 56-46712 | NCPDP PROVIDER | CA |
| 01 | — | PHY 51992 | BOARD OF PHARMACY PERMIT | CA |