Provider Demographics
NPI:1528129699
Name:AMERICAN ADVANCEMENT LLC
Entity type:Organization
Organization Name:AMERICAN ADVANCEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAJESAWRI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-604-2356
Mailing Address - Street 1:1323 E FRANKLIN ST # 100
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-2621
Mailing Address - Country:US
Mailing Address - Phone:254-632-8863
Mailing Address - Fax:254-632-8864
Practice Address - Street 1:1323 E FRANKLIN ST # 100
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-2621
Practice Address - Country:US
Practice Address - Phone:254-632-8863
Practice Address - Fax:254-632-8864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX316823336C0003X
TX296773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2151135OtherPK
2099125OtherPK