Organization
ADVANCE RX SD LLC
Active
Other names
ADVANCE CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANOJKUMAR G. RAFALIA (MANAGING MEMBER)
(760) 489-7077
Entity
Organization
Contact information
Practice address
528 N BROADWAY, ESCONDIDO, CA 92025-2720
(760) 489-7077
(760) 489-7040
Mailing address
528 N BROADWAY, ESCONDIDO, CA 92025-2720
(760) 489-7077
(760) 489-7040
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2112589
PK
—
Enumeration date
09/13/2007
Last updated
05/23/2025
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