Organization
ADVANCE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALONDRIA SIMPSON (OWNER)
(713) 661-5711
Entity
Organization
Contact information
Practice address
2646 S LOOP W STE 330, HOUSTON, TX 77054-2773
(713) 661-5711
(713) 661-5797
Mailing address
2646 S LOOP W, SUITE 330, HOUSTON, TX 77054-2665
(713) 661-5711
(713) 661-5797
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28994
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148430
PK
—
Enumeration date
12/22/2011
Last updated
04/11/2022
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