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Organization

ADVANCE PHARMACY INC.

Active
Other names
88 Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
LUIS JOA PHARM.D. (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(626) 576-7633
Entity
Organization

Contact information

Practice address
88 S PALM AVE, ALHAMBRA, CA 91801-3101
(626) 576-7633
(626) 576-2243
Mailing address
88 S PALM AVE, ALHAMBRA, CA 91801-3101
(626) 576-7633
(626) 576-2243

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46976
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0548656
NCPDP PROVIDER NUMBER
05
PHA469760
CA
Enumeration date
10/15/2006
Last updated
08/22/2020
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