MEDICARE: HOSPISCRIPT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336S0011X	Specialty Pharmacy	7062	AL
2	333600000X	Pharmacy	7062	AL

General Provider Information

NPI Number	:	1356510499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPISCRIPT SERVICES LLC

Provider Business Mailing Address
First Line	:	2124 WALBASH DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-1365
Country	:	US
Telephone Number	:	334-244-1326
Fax Number	:	334-395-6164

Provider Business Practice Location Address
First Line	:	1460 ANN ST
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36107-3103
Country	:	US
Telephone Number	:	334-956-7500
Fax Number	:

Authorized Official
Title or Position	:	VP CLINICAL SERVICES
Name	:	DR. JOHN P REDDEN
Credential	:	PHARMD
Telephone Number	:	334-956-7500

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	02/22/2008

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Directions to “HOSPISCRIPT SERVICES LLC ” Practice Location

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