Organization
ACCESS SPECIALIZED CARE
Active
Other names
ACCESS SPECIALIZED CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MAX STANDEFER RPH (OWNER)
(423) 877-3568
Entity
Organization
Contact information
Practice address
4062 HIXSON PIKE STE C, CHATTANOOGA, TN 37415-3110
(423) 877-3568
(423) 362-4875
Mailing address
4062 HIXSON PIKE, STE C, CHATTANOOGA, TN 37415-3110
(423) 877-3568
(423) 362-4875
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
4423
TN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2095314
PK
—
05
—
3512814
—
TN
Enumeration date
07/05/2007
Last updated
06/10/2019
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