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Advanced Healthcare Management Services, LLC

Organization Active NPI Community/Retail Pharmacy · Poplar Bluff, MO

NPI 1477518355 · NPPES record last updated Oct 18, 2010

Key facts

NPI
1477518355
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
2002010186 (MO)
Legal business name
ADVANCED HEALTHCARE MANAGEMENT SERVICES, LLC
Practice address
2002 Kanell Blvd
Suite 102
Poplar Bluff, MO 63901-4045
Phone
(573) 778-1608
Fax
(573) 778-1645
NPI assigned
Apr 20, 2006
Organization subpart
No

Authorized official

Name
Mrs. Paula E. Harris
Title
Chief Executive Officer
Phone
(573) 778-0020

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Adv Healthcare MGNT SVS LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2002010186 MO Yes

Addresses

Primary practice location

2002 Kanell Blvd
Suite 102
Poplar Bluff, MO 63901-4045

Mailing address

P.O. Box 989
Poplar Bluff, MO 63902-0989
Phone (573) 778-1608

Other identifiers

IdentifierTypeStateIssuer
605768605MedicaidMO

Other names

  • Advanced Healthcare Pharmacy I Doing business as

Other providers in Poplar Bluff, MO

All providers in Poplar Bluff, MO · Community/Retail Pharmacy in Missouri

Sources for this page

Verify at the official NPI Registry.