Organization
RX SERVICES DIVERSIFIED INC.
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JODI SILVIO RPH (OWNER)
(251) 580-2770
Entity
Organization
Contact information
Practice address
618 MCMEANS AVE, BAY MINETTE, AL 36507
(251) 580-2770
(251) 580-2768
Mailing address
618 MCMEANS AVE, BAY MINETTE, AL 36507
(251) 580-2770
(251) 580-2768
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
AL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
AL
3336H0001X
Home Infusion Therapy Pharmacy
—
AL
3336L0003X
Long Term Care Pharmacy
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134837
NCPDP #
AL
05
—
100039198
—
AL
Enumeration date
09/19/2007
Last updated
03/07/2023
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