Organization
ADVANCE PHARMACY SERVICES PLLC
Active
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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