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Organization

ADVANCED PHARMACY

Active
Parent organization
IRM ENTERPRISES
Organization subpart
Yes

Provider details

NPI number
Legal business name
IRM ENTERPRISES
Authorized official
MOHAMMAD ATTIQUE (OWNER)
(314) 381-9394
Entity
Organization

Contact information

Practice address
2865 JAMES BLVD, POPLAR BLUFF, MO 63901-2803
(573) 727-9030
(573) 927-9023
Mailing address
2865 JAMES BLVD, POPLAR BLUFF, MO 63901-2803
(573) 727-9030
(573) 927-9023

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2011021111
MO

Other

Enumeration date
07/15/2011
Last updated
07/15/2011
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