Organization
ADVANCED PHARMACY SERVICES LLC
Active
Other names
ADVANCED PHARMACY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
KENT ABBOTT (PRESIDENT)
(405) 663-4111
Entity
Organization
Contact information
Practice address
237 S 7TH ST, GRAND JUNCTION, CO 81501-3601
(970) 242-4484
(970) 242-0929
Mailing address
PO BOX 421, HYDRO, OK 73048-0421
(405) 663-4111
(970) 242-0929
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
530000023
CO
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07054220
—
CO
01
—
1997764
PK
—
Enumeration date
09/15/2005
Last updated
02/20/2017
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