Provider Demographics
NPI:1558834432
Name:ADVANCED PHARMACY SERVICES LLC
Entity Type:Organization
Organization Name:ADVANCED PHARMACY SERVICES LLC
Other - Org Name:ADVANCED VITAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BROWNBACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-242-2272
Mailing Address - Street 1:1901 MEDI PARK DR STE 1059
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2108
Mailing Address - Country:US
Mailing Address - Phone:806-242-2272
Mailing Address - Fax:806-242-2273
Practice Address - Street 1:1901 MEDI PARK DR STE 1059
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2108
Practice Address - Country:US
Practice Address - Phone:806-242-2272
Practice Address - Fax:806-242-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy