Healthcare Provider Details

I. General information

NPI: 1205140845
Provider Name (Legal Business Name): PHARMACY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 02/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2244 VANESSA DR
BIRMINGHAM AL
35242-4430
US

IV. Provider business mailing address

2244 VANESSA DR
BIRMINGHAM AL
35242-4430
US

V. Phone/Fax

Practice location:
  • Phone: 205-249-8178
  • Fax:
Mailing address:
  • Phone: 205-249-8178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ROBERT KETCHUM
Title or Position: PRESIDENT
Credential: RPH
Phone: 205-249-8178