Organization
ADVANCE CARE RX LLC
Active
Other names
Advance Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHAVIN K PANCHAL PHARM D (OWNER/STAFF PHARMACIST)
(941) 212-6666
Entity
Organization
Contact information
Practice address
7016 US 301 N, ELLENTON, FL 34222-3030
(407) 271-2138
Mailing address
7016 US 301 N, ELLENTON, FL 34222-3030
(941) 212-6666
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021396800
—
FL
01
—
2166692
PK
—
Enumeration date
11/30/2016
Last updated
11/21/2017
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