Organization
PHARMACY SERVICES DIVIRSIFIED INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JODI SILVIO (OWNER/PHARMACIST)
(251) 605-8879
Entity
Organization
Contact information
Practice address
146 S FLORIDA ST, MOBILE, AL 36606-1955
(251) 471-4560
(251) 471-9445
Mailing address
PO BOX 160907, MOBILE, AL 36616-1907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
110403
AL
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125460
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
03/07/2023
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