Organization
ADVANCED PHYSICANS SOLUTIONS INC
Active
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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