# ONE SOURCE RX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** One Source RX, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891122834
- **Authorized official:** PORTER MCCOLLISTER (MANAGING PARTNER)
- **Authorized official phone:** (205) 790-4774

## Contact information

- **Practice address:** 3008 CLAIRMONT AVE S STE 100, BIRMINGHAM, AL 35205-1113
- **Practice address phone:** (205) 244-1444
- **Practice address fax:** (205) 244-1119
- **Mailing address:** PO BOX 531228, BIRMINGHAM, AL 35253-1228
- **Mailing address phone:** (205) 244-1444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114219 | AL | Yes |

## Other

- **Enumeration date:** 10/05/2013
- **Last updated:** 10/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2142386 | PK | — |