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Organization
ADVANCED SPECIALTY PHARMACY LLC
Active
Organization
ADVANCED SPECIALTY PHARMACY LLC
Active
Other names
Meds IV, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROGERS RPH (PRESIDENT)
(205) 941-9848
Entity
Organization
Contact information
Practice address
102 OXMOOR RD, STE 118, BIRMINGHAM, AL 35209-5979
(205) 941-9848
(888) 481-2041
Mailing address
102 OXMOOR RD, STE 118, BIRMINGHAM, AL 35209-5979
(205) 941-9848
(888) 481-2041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113100
AL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135548
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/31/2008
Last updated
01/18/2011
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