Provider Demographics
NPI:1063510097
Name:ADVANCED CARE SCRIPTS INC
Entity Type:Organization
Organization Name:ADVANCED CARE SCRIPTS INC
Other - Org Name:CVS/SPECIALTY OR CARELONRX SPECIALTY PHARMACY #48226
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOFFATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-770-5409
Mailing Address - Street 1:PO BOX 74007650
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-7650
Mailing Address - Country:US
Mailing Address - Phone:909-799-4371
Mailing Address - Fax:
Practice Address - Street 1:6251 CHANCELLOR DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-5501
Practice Address - Country:US
Practice Address - Phone:877-985-6337
Practice Address - Fax:866-679-7131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336L0003X, 3336M0002X, 3336S0011X
FLPH214233336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000082200Medicaid
2005020OtherPK
FL000082200Medicaid