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Contact Information

ADVANCERX COM L.L.C.
1 GREAT VALLEY BLVD
WILKES-BARRE, PA18706-5324
 Phone: 800-225-5967
 Fax: 909-799-4364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ADVANCERX COM L.L.C.

NPI Number 1326029232
LBN Legal business name ADVANCERX COM L.L.C.
Authorized official BRANDON AYCOCK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2005
Last updated 01/02/2026 - About 5 months ago
Identifiers
PA License # PP481166
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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