# HEALTH SERVICES DIVERSIFIED, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicap Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124043963
- **Authorized official:** DR. JODI C. SILVIO P.D. (PRESIDENT)
- **Authorized official phone:** (251) 929-1017

## Contact information

- **Practice address:** 104 ECOR ROUGE PL, FAIRHOPE, AL 36532-3062
- **Practice address phone:** (251) 929-1017
- **Practice address fax:** (251) 929-1018
- **Mailing address:** 104 ECOR ROUGE PL, FAIRHOPE, AL 36532-3062
- **Mailing address phone:** (251) 929-1017
- **Mailing address fax:** (251) 929-1018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 111749 | AL | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 111749 | AL | — |
| 333600000X | Pharmacy | 111749 | AL | — |
| 3336C0003X | Community/Retail Pharmacy | 111749 | AL | Yes |
| 3336H0001X | Home Infusion Therapy Pharmacy | 111749 | AL | — |
| 3336L0003X | Long Term Care Pharmacy | 111749 | AL | — |
| 3336M0002X | Mail Order Pharmacy | 111749 | AL | — |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 07/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009938825 | — | AL |
| 05 | — | 100003187 | — | AL |