Organization
ADVANCED RX LB LLC
Active
Other names
ADVANCED CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MANISHKUMAR TRIKAMBHAI PATEL (MEMBER)
(562) 912-4011
Entity
Organization
Contact information
Practice address
2100 LONG BEACH BLVD, LONG BEACH, CA 90806-4807
(562) 912-4011
(951) 284-4596
Mailing address
2100 LONG BEACH BLVD, LONG BEACH, CA 90806-4807
(562) 912-4011
(951) 284-4596
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY60561
BOARD OF PHARMACY
CA
Enumeration date
03/30/2022
Last updated
03/05/2025
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