Advance Care Pharmacy

LBN: Your Compounding Pharmacy, Llc
Advance Care Pharmacy is an health care organization with primary practice located at 280 Indian Springs Rd Suite 125, Indiana PA 15701-3676. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Your Compounding Pharmacy, Llc can be contacted via phone (724) 463-9300, or through Kodman, James Albert via phone (724) 463-9300.

Contact Information

Primary practice address
280 Indian Springs Rd Suite 125 Indiana PA 15701-3676
Phone: (724) 463-9300
Fax: (724) 463-9301
Website:
Map and Directions
Authorized official contact:
Name: Kodman, James Albert
Phone: (724) 463-9300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Community/Retail Pharmacy 3336C0003X PP414041L Pennsylvania
Suppliers / Compounding Pharmacy 3336C0004X PP414041L Pennsylvania
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1619090024
LBN Legal business name Your Compounding Pharmacy, Llc
DBA Doing business as Advance Care Pharmacy
Authorized official Kodman, James Albert
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Mar 30th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619090024 NPPES
Ohio MEDICAID 0180749
Ohio MEDICAID 102834523002
Ohio Other PP414041L

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