Organization · Type 2 NPI

Advanced Healthcare Solutions LLC

Non-Pharmacy Dispensing Site · Pocatello, ID

NPI number 1144504663 Active

Practice location

950 Hospital Way
Pocatello, ID 83201-2789

Call (208) 232-0021 Map

Mailing address

2980 N Beverly Glen Cir Ste 301
Los Angeles, CA 90077-1735

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

9 other providers at this address

Other non-pharmacy dispensing site providers in Pocatello

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NPI record

NPI: 1144504663
Entity type: Organization (Type 2)
Issued: Oct 3, 2011
Last updated: Oct 3, 2011
Status: Active
Subpart: Yes of Advanced Heallhcare Solutions LLC

Other names

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Physicians Immediate Care Center · doing business as

Authorized official

Randy Vawdrey, NP
COO
(208) 232-0021

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144504663

Advanced Healthcare Solutions LLC's National Provider Identifier is 1144504663, issued on Oct 3, 2011. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Pocatello, ID. The record was last updated on Oct 3, 2011.