# PHARMACY SERVICES DIVIRSIFIED INC

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

## Provider details

- **NPI number:** 1194837179
- **Authorized official:** JODI SILVIO (OWNER/PHARMACIST)
- **Authorized official phone:** (251) 605-8879

## Contact information

- **Practice address:** 146 S FLORIDA ST, MOBILE, AL 36606-1955
- **Practice address phone:** (251) 471-4560
- **Practice address fax:** (251) 471-9445
- **Mailing address:** PO BOX 160907, MOBILE, AL 36616-1907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | 110403 | AL | — |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0125460 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |