MEDICARE: ADVANCE 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PH26363	FL
4	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2137538	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992058929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE PHARMACY SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	PO BOX 770936
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-0016
Country	:	US
Telephone Number	:	786-732-4613
Fax Number	:	786-732-4956

Provider Business Practice Location Address
First Line	:	10910 SW 184TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6608
Country	:	US
Telephone Number	:	786-732-4613
Fax Number	:	786-732-4956

Authorized Official
Title or Position	:	OWNER/MANAGAR
Name	:	BUFFER EYO
Credential	:
Telephone Number	:	786-732-4613

Provider Enumeration Date	:	10/15/2012
Last Update Date	:	05/01/2023

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Directions to “ADVANCE PHARMACY SOLUTIONS LLC ” Practice Location

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