Organization
ADVANCED SPECIALTY PHARMACY LLC
Active
Other names
Meds IV, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ROGERS RPH (PRESIDENT)
(205) 941-9848
Entity
Organization
Contact information
Practice address
102 OXMOOR RD, STE 118, BIRMINGHAM, AL 35209-5979
(205) 941-9848
(888) 481-2041
Mailing address
102 OXMOOR RD, STE 118, BIRMINGHAM, AL 35209-5979
(205) 941-9848
(888) 481-2041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113100
AL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135548
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/31/2008
Last updated
01/18/2011
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