Organization
ONE SOURCE RX, LLC
Active
Other names
One Source RX, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PORTER MCCOLLISTER (MANAGING PARTNER)
(205) 790-4774
Entity
Organization
Contact information
Practice address
3008 CLAIRMONT AVE S STE 100, BIRMINGHAM, AL 35205-1113
(205) 244-1444
(205) 244-1119
Mailing address
PO BOX 531228, BIRMINGHAM, AL 35253-1228
(205) 244-1444
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114219
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142386
PK
—
Enumeration date
10/05/2013
Last updated
10/05/2013
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