# ADVANCED SPECIALTY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meds IV, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972769834
- **Authorized official:** WILLIAM ROGERS RPH (PRESIDENT)
- **Authorized official phone:** (205) 941-9848

## Contact information

- **Practice address:** 102 OXMOOR RD, STE 118, BIRMINGHAM, AL 35209-5979
- **Practice address phone:** (205) 941-9848
- **Practice address fax:** (888) 481-2041
- **Mailing address:** 102 OXMOOR RD, STE 118, BIRMINGHAM, AL 35209-5979
- **Mailing address phone:** (205) 941-9848
- **Mailing address fax:** (888) 481-2041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 113100 | AL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/31/2008
- **Last updated:** 01/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0135548 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |