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NPI 1235585662 · live from the CMS NPI Registry

Advance Community Health, INC

Pharmacy in Raleigh, NC. National Provider Identifier 1235585662, active.

NPI record

NPI1235585662 Type 2 · organization
StatusActive
Primary specialtyPharmacy 333600000X
Practice location1011 Rock Quarry Rd, Raleigh, NC 27610
Practice phone919-755-5060
EnumeratedMay 4, 2016
Last updatedJuly 5, 2023
Authorized officialTonchelle Lucas, Credentialing Manager
Other namesAdvance Community Health Pharmacy Ser

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Community/Retail Pharmacy3336C0003X13075 (NC)
Pharmacy primary333600000X—

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