Organization
ADVANCED PHARMACY INC
Active
Other names
Advanced Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MURDAKHAY KHAIMOV PHARMD (PRESIDENT)
(347) 916-1895
Entity
Organization
Contact information
Practice address
6929 MYRTLE AVE, GLENDALE, NY 11385-7265
(347) 916-1895
(347) 916-1764
Mailing address
6929 MYRTLE AVE, GLENDALE, NY 11385-7265
(347) 916-1895
(347) 916-1764
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034513
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159335
PK
—
Enumeration date
03/31/2016
Last updated
04/17/2017
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