OrganizationActive
Advanced Medical Group, LLC
NPI 1932921749 · Long Term Care Pharmacy · Aiken, SC
Provider details
- NPI number
- 1932921749
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kellie Rawlins, Compliance(678) 689-2389
Specialties & taxonomies
Suppliers
Practice location
839 Richland Ave
Aiken, SC 29801-3833
Phone: (803) 649-7437
Fax: (803) 649-2062
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1860
Langley, SC 29834-1860
Other names (DBA / former)
- Doing business as
- Medicine Mart
Registry dates
- Enumerated
- 2024-10-31
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.