MEDICARE: ADVANCED PHARMACY SOLUTIONS, LLC

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	3336C0004X	Compounding Pharmacy		WA

General Provider Information

NPI Number	:	1508251398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PHARMACY SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1625 MOTTMAN RD SW
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98512-7833
Country	:	US
Telephone Number	:	360-464-1322
Fax Number	:	360-464-2345

Provider Business Practice Location Address
First Line	:	1625 MOTTMAN RD SW
Second Line	:
City	:	TUMWATER
State	:	WA
Zip	:	98512-7833
Country	:	US
Telephone Number	:	360-464-1322
Fax Number	:	360-464-2345

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	DR. JASON FURBUSH
Credential	:	PHARM.D
Telephone Number	:	253-202-3720

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	03/30/2015

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