Organization
INLAND MEDICAL CONSULTANTS, LLC
Active
Other names
Advanced Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GILLMAN B.A. (OWNER/AO)
(951) 858-5439
Entity
Organization
Contact information
Practice address
319 E PALM DR STE A, PLACENTIA, CA 92870-3238
(714) 667-3832
(888) 978-5154
Mailing address
319 E PALM DR STE A, PLACENTIA, CA 92870-3238
(714) 667-3832
(888) 978-5154
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
52543
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138237
PK
—
Enumeration date
12/10/2012
Last updated
07/19/2018
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