Advance Pharmacy Inc.
Organization Active NPI Community/Retail Pharmacy · Alhambra, CA
NPI 1417047739 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1417047739
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY46976 (CA)
- Legal business name
- ADVANCE PHARMACY INC.
- Practice address
- 88 S Palm Ave
Alhambra, CA 91801-3101 - Phone
- (626) 576-7633
- Fax
- (626) 576-2243
- NPI assigned
- Oct 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Luis Joa, PHARM.D.
- Title
- President/Chief Executive Officer
- Phone
- (626) 576-7633
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY46976 | CA | Yes |
Addresses
Primary practice location
88 S Palm Ave
Alhambra, CA 91801-3101
Mailing address
88 S Palm Ave
Alhambra, CA 91801-3101
Phone (626) 576-7633
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0548656 | Other | NCPDP PROVIDER NUMBER | |
| PHA469760 | Medicaid | CA |
Other names
- 88 Pharmacy
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All providers in Alhambra, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.