# RX SERVICES DIVERSIFIED INC.

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

## Provider details

- **NPI number:** 1689860074
- **Authorized official:** JODI SILVIO RPH (OWNER)
- **Authorized official phone:** (251) 580-2770

## Contact information

- **Practice address:** 618 MCMEANS AVE, BAY MINETTE, AL 36507
- **Practice address phone:** (251) 580-2770
- **Practice address fax:** (251) 580-2768
- **Mailing address:** 618 MCMEANS AVE, BAY MINETTE, AL 36507
- **Mailing address phone:** (251) 580-2770
- **Mailing address fax:** (251) 580-2768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | AL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | AL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | AL | — |
| 3336L0003X | Long Term Care Pharmacy | — | AL | — |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0134837 | NCPDP \# | AL |
| 05 | — | 100039198 | — | AL |