Organization
ADVANCED PHARMACY GROUP INC.
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
TONY IBRAHIM (CEO)
(760) 987-6796
Entity
Organization
Contact information
Practice address
15555 MAIN ST STE D8, HESPERIA, CA 92345-3423
(760) 948-1000
(760) 948-2000
Mailing address
15555 MAIN ST STE D8, HESPERIA, CA 92345-3423
(760) 948-1000
(760) 948-2000
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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