Healthcare Provider Details

I. General information

NPI: 1811964992
Provider Name (Legal Business Name): ADVANCED PHARMACEUTICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 11/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 N WASHINGTON ST
TULLAHOMA TN
37388-2313
US

IV. Provider business mailing address

PO BOX 1357
TULLAHOMA TN
37388-1357
US

V. Phone/Fax

Practice location:
  • Phone: 931-455-1423
  • Fax: 931-455-5204
Mailing address:
  • Phone: 931-455-1423
  • Fax: 931-455-5204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number3521
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number817
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number3521
License Number StateTN

VIII. Authorized Official

Name: DR. NADER SOHRABI
Title or Position: PRESIDENT
Credential: D.PH.
Phone: 931-455-1423