A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO?s covered members only.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1568748010 |
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| LBN Legal business name | ADVANCED RX MANAGEMENT | ||||||||||||
| Authorized official | ADAM GIRAULT - (PROGRAM MANAGER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 10/28/2011 | ||||||||||||
| Last updated | 06/26/2023 - About 3 years ago | ||||||||||||
| Identifiers |
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ADVANCED RX MANAGEMENT
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