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ADVANCED MEDICAL THERAPEUTICS PHARMACY

Suppliers Pharmacy Community/Retail Pharmacy

Provider NPI: 1093919151

Organization Information:
Organization Name:  ADVANCED MEDICAL THERAPEUTICS PHARMACY
Organization is not Subpart
Authorized Official:  MELANIE  GENTILE  PHARMACIST-IN-CHARGE  866-828-8203

Practice Location:
4217 S NEW HOPE RD  GASTONIA, NC 28056-8453 US
Tel: 866-828-8203  Fax: 704-824-1874

Business Mailing Address:
3505 AUSTIN BLUFFS PKWY SUITE 101 COLORADO SPRINGS, CO 80918-5702 US
Tel: 719-262-0022  Fax: 719-955-1490

NPI Information:
NPI: 1093919151
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3336C0003XSuppliers
Pharmacy
Community/Retail Pharmacy
NC8788

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 3336C0003X

Type:

Classification:



Definition:



MEDICAL JOBS NC - Page 1

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