Organization
ADVANCED CARE SCRIPTS INC
Active
Other names
CVS/specialty OR CarelonRx Specialty Pharmacy #48226
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MOFFATT (VICE PRESIDENT)
(401) 770-5409
Entity
Organization
Contact information
Practice address
6251 CHANCELLOR DR, SUITE 101, ORLANDO, FL 32809-5501
(877) 985-6337
(866) 679-7131
Mailing address
PO BOX 74007650, CHICAGO, IL 60674-7650
(909) 799-4371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
PH21423
FL
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000082200
—
FL
01
—
2005020
PK
—
Enumeration date
09/21/2006
Last updated
10/04/2023
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