Organization
ADVANCED MEDICAL GROUP, LLC
Active
Other names
Medicine Mart
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE D RAWLINS (COMPLIANCE)
(678) 689-2389
Entity
Organization
Contact information
Practice address
839 RICHLAND AVE, AIKEN, SC 29801-3833
(803) 649-7437
(803) 649-2062
Mailing address
PO BOX 1860, LANGLEY, SC 29834-1860
(803) 649-7437
(803) 649-2062
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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