MEDICARE: ADVANCERX COM L P

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	25061	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies	25061	TX
3	3336M0002X	Mail Order Pharmacy	25061	TX

General Provider Information

NPI Number	:	1669453569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCERX COM L P

Provider Business Mailing Address
First Line	:	PO BOX 840688
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-0688
Country	:	US
Telephone Number	:	800-225-5967
Fax Number	:	909-799-4364

Provider Business Practice Location Address
First Line	:	2105 EAGLE PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76177-2311
Country	:	US
Telephone Number	:	817-258-3460
Fax Number	:	817-258-3445

Authorized Official
Title or Position	:	AUTHORIZED AGENT
Name	:	MS. SARA J FINLEY
Credential	:
Telephone Number	:	800-225-5967

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	06/17/2008

Similar Medicare Providers

1346387230 — MR. STEVE HERR RPH
Practice Location Address:

2105 EAGLE PKWY
FORT WORTH, TX
76177-2311

Practice Phone: 817-258-3400
Practice Fax:

1992917876 — DR. VAN VI THI NGUYEN O.D.
Practice Location Address:

2300 W 7TH ST STE 132
FORT WORTH, TX
76107-2311

Practice Phone: 817-420-7377
Practice Fax: 817-420-7376

1033700828 — DR. DUSTIN MATTHEW WORTHINGTON DC
Practice Location Address:

2300 W 7TH ST STE 114
FORT WORTH, TX
76107-2311

Practice Phone: 817-381-1920
Practice Fax: 817-764-2731

1588437628 — BYUNG YOON KIM OD
Practice Location Address:

2300 W 7TH ST STE 132
FORT WORTH, TX
76107-2311

Practice Phone: 817-420-7377
Practice Fax:

1891647798 — DAVID RIVAS
Practice Location Address:

1500 S MAIN ST APT 2311
FORT WORTH, TX
76104-4941

Practice Phone: 817-702-3431
Practice Fax:

1053312967 — MR. ROBERT HARRY BROCKMAN DC
Practice Location Address:

2311 AVENUE L STE 3
FORT MADISON, IA
52627-4031

Practice Phone: 319-372-3800
Practice Fax:

Directions to “ADVANCERX COM L P ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.