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Organization

ADVANCED PHYSICANS SOLUTIONS INC

Active
Other names
ADVANCED COMPOUNDING PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH KOHAN (CFO)
(310) 922-0272
Entity
Organization

Contact information

Practice address
7225 FULTON AVE, NORTH HOLLYWOOD, CA 91605-4111
(818) 982-2813
(866) 219-2340
Mailing address
4335 VAN NUYS BLVD, SUITE 407, SHERMAN OAKS, CA 91403-3727
(818) 982-2813
(866) 837-4530

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48591
CA
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760493316
CA
01
5601530
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
08/10/2006
Last updated
03/08/2012
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