Organization
AFYA GROUP LLC
Active
Other names
Avant Pharmacy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
AMINA ABUBAKAR PHARMD (MANAGER/OWNER)
(215) 840-5510
Entity
Organization
Contact information
Practice address
9835 MONROE RD, CHARLOTTE, NC 28270-1471
(704) 537-0909
(704) 537-0497
Mailing address
9835 MONROE RD, CHARLOTTE, NC 28270-1471
(704) 537-0909
(704) 537-0497
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
10216
NC
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118386
PK
—
Enumeration date
01/05/2009
Last updated
05/13/2022
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