<Unavail>

LBN: Advanced Rx Inc
<Unavail> is an health care organization with primary practice located at 1107 S Alvarado St Ste 103, Los Angeles CA 90006-4184. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Advanced Rx Inc can be contacted via phone (213) 387-6702, or through Kohan, Joseph via phone (310) 922-0272.

Contact Information

Primary practice address
1107 S Alvarado St Ste 103 Los Angeles CA 90006-4184
Phone: (213) 387-6702
Fax: (231) 387-6703
Website:
Map and Directions
Authorized official contact:
Name: Kohan, Joseph
Phone: (310) 922-0272

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY49031 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1366616005
LBN Legal business name Advanced Rx Inc
DBA Doing business as <Unavail>
Authorized official Kohan, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2008
Last updated May 4th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366616005 NPPES
Other 5630050 NCPDP PROVIDER IDENTIFICATION NUMBER

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