Organization
ACKER RX LLC
Active
Other names
BLOUNTSVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA ACKER PHRMD (OWNER)
(205) 429-3351
Entity
Organization
Contact information
Practice address
69005 MAIN STREET, BLOUNTSVILLE, AL 35031
(205) 429-3351
(205) 429-3226
Mailing address
PO BOX 250, BLOUNTSVILLE, AL 35031-0250
(205) 429-3351
(205) 429-3226
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113019
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105266
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/26/2007
Last updated
08/11/2010
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