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NPI 1962771733 · live from the CMS NPI Registry

Advance Pharmacy LLC

Pharmacy, Community/Retail Pharmacy in Houston, TX. National Provider Identifier 1962771733, active.

NPI record

NPI1962771733 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location2646 S Loop W Ste 330, Houston, TX 77054
Practice phone713-661-5711
Mailing address2646 S Loop W, Suite 330, Houston, TX 77054
EnumeratedDecember 22, 2011
Last updatedApril 11, 2022
Authorized officialShalondria Simpson, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Compounding Pharmacy3336C0004X—
Pharmacy, Community/Retail Pharmacy primary3336C0003X28994 (TX)

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