Provider Demographics
NPI:1932501384
Name:ADVANCED RX
Entity Type:Organization
Organization Name:ADVANCED RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:JERUSIK
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:484-681-5756
Mailing Address - Street 1:414 COMMERCE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2620
Mailing Address - Country:US
Mailing Address - Phone:844-511-4700
Mailing Address - Fax:866-308-3832
Practice Address - Street 1:414 COMMERCE DR STE 100
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2620
Practice Address - Country:US
Practice Address - Phone:844-511-4700
Practice Address - Fax:866-308-3832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy