Organization
ADVANCE PHARMACY SERVICES PLLC
Active
Other names
Advance Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN GRACE (ADMINISTRATOR)
(731) 664-0002
Entity
Organization
Contact information
Practice address
317 N PARKWAY STE 400, JACKSON, TN 38305-2713
(877) 433-5190
(888) 208-1097
Mailing address
1838 ELM HILL PIKE, SUITE 125, NASHVILLE, TN 37210-3726
(877) 433-5190
(888) 208-1097
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4777
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4443317
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/30/2010
Last updated
06/30/2010
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