OrganizationActive
Advanced Healthcare Solutions LLC
NPI 1144504663 · Non-Pharmacy Dispensing Site · Pocatello, ID
Provider details
- NPI number
- 1144504663
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Advanced Heallhcare Solutions LLC
- Authorized official
- Randy Vawdrey, Coo
Mailing address
2980 N Beverly Glen Cir Ste 301
Los Angeles, CA 90077-1735
Registry dates
- Enumerated
- 2011-10-03
- Last updated
- 2011-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.