Organization
ADVANCED PHARMACY LLC
Active
Other names
Advanced Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY SANTULLI (PRESIDENT)
(770) 339-1190
Entity
Organization
Contact information
Practice address
350 FEASTER RD STE D, GREENVILLE, SC 29615-6176
(770) 339-1190
(888) 610-3138
Mailing address
1576 ATKINSON RD, LAWRENCEVILLE, GA 30043-5701
(770) 339-1190
(888) 901-2030
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14847
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127115
PK
—
Enumeration date
09/08/2010
Last updated
04/12/2016
Update your record
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