Organization
ADVANTAGE PHARMACY SOLUTIONS LLC
Active
Other names
ADVANTAGE PHARMACY SOLUTIONS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY EISENRIECH (MANAGING MEMBER)
(201) 216-9502
Entity
Organization
Contact information
Practice address
1417 BRACE RD, CHERRY HILL, NJ 08034-3524
(856) 796-9500
(856) 795-7771
Mailing address
1417 BRACE RD, CHERRY HILL, NJ 08034-3524
(856) 796-9500
(856) 795-7771
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
28RS00672300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153648
—
NJ
05
—
1021560770001
—
PA
01
—
3144336
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
09/27/2010
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