Organization
ADVANCE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARITA BETITA DANO RN (OWNER/ADMINISTRATOR)
(916) 722-1079
Entity
Organization
Contact information
Practice address
5111 ROLLING FIELD CT, ANTELOPE, CA 95843-4608
(916) 722-1079
(916) 722-1079
Mailing address
5111 ROLLING FIELD CT, ANTELOPE, CA 95843-4608
(916) 722-1079
(916) 722-1079
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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