Organization
ADVANCED PHARMACY GROUP INC.
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
HUSAM ABUKHIRAN (SECRETARY)
(760) 987-4854
Entity
Organization
Contact information
Practice address
15555 MAIN ST., #D8, HESPERIA, CA 92345-3423
(760) 987-4854
(760) 948-2000
Mailing address
15555 MAIN ST., #D8, HESPERIA, CA 92345-3423
(760) 987-4854
(760) 948-2000
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY56052
CA
Other
Enumeration date
06/18/2015
Last updated
11/08/2024
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