Organization
ADVANCED PHARMACY SOLUTIONS
Active
Other names
QVL Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY POLIAKOFF (OWNER)
(903) 295-6800
Entity
Organization
Contact information
Practice address
7420 GUTHRIE DR N STE 109, SOUTHAVEN, MS 38671-5857
(877) 498-9347
(877) 536-4207
Mailing address
7420 GUTHRIE DR N STE 109, SOUTHAVEN, MS 38671-5857
(877) 498-9347
(877) 536-4207
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
05956026
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05908836
—
MS
Enumeration date
05/15/2007
Last updated
06/16/2008
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