Organization
ADVANCED FAMILY PHARMACY INC
Active
Other names
ADVANCED FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD HALL (PRESIDENT/OWNER)
(559) 222-8303
Entity
Organization
Contact information
Practice address
5191 N 6TH ST, FRESNO, CA 93710-7502
(559) 222-8303
(559) 222-1082
Mailing address
5191 N 6TH ST, FRESNO, CA 93710-7502
(559) 222-8303
(559) 222-1082
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
PHY 51992
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY 51992
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-46712
NCPDP PROVIDER
CA
01
—
PHY 51992
BOARD OF PHARMACY PERMIT
CA
Enumeration date
02/27/2013
Last updated
06/02/2015
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