Wellformed AI

NPI 1215306378 · live from the CMS NPI Registry

Avance Health System INC

Pharmacy, Community/Retail Pharmacy in Raleigh, NC. National Provider Identifier 1215306378, active.

NPI record

NPI1215306378 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location815 Oberlin Road, Raleigh, NC 27605
Practice phone919-247-3018
Mailing address10900 World Trade Blvd, Suite 207, Raleigh, NC 27617
EnumeratedSeptember 18, 2015
Last updatedSeptember 18, 2015
Authorized officialRitesh Patel, Pharmacy Director
Other namesOberlin Road Pharmacy

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Clinic Pharmacy3336C0002X—
Pharmacy, Community/Retail Pharmacy primary3336C0003X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.