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Contact Information

ADVANTRA RX LLC
5530 WISCONSIN AVE SUITE 100
CHEVY CHASE, MD20815
 Phone: 301-657-3050
 Fax: 301-657-3053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ADVANTRA RX LLC

NPI # 1235431354
LBN Legal business name ADVANTRA RX LLC
Authorized official ANNALISSA HICKS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/22/2010
Last updated 07/21/2022 - About 4 years ago
Identifiers
MD License # P05414
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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