Organization
ADVANCED HEALTHCARE MANAGEMENT SERVICES, LLC
Active
Other names
Advanced Healthcare Pharmacy I
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA E. HARRIS (CHIEF EXECUTIVE OFFICER)
(573) 778-0020
Entity
Organization
Contact information
Practice address
2002 KANELL BLVD, SUITE 102, POPLAR BLUFF, MO 63901-4045
(573) 778-1608
(573) 778-1645
Mailing address
P.O. BOX 989, POPLAR BLUFF, MO 63902-0989
(573) 778-1608
(573) 778-1645
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2002010186
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605768605
—
MO
Enumeration date
04/20/2006
Last updated
10/18/2010
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