Healthcare Provider Details
I. General information
NPI: 1548548555
Provider Name (Legal Business Name): ACCURX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2011
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2649 VALLEYDALE RD SUITE B
BIRMINGHAM AL
35244-2075
US
IV. Provider business mailing address
2649 VALLEYDALE RD STE B
BIRMINGHAM AL
35244-2075
US
V. Phone/Fax
- Phone: 205-769-6300
- Fax: 205-769-6302
- Phone: 205-769-6300
- Fax: 205-769-6302
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 5103 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 113732 |
| License Number State | AL |
VIII. Authorized Official
Name:
DAVID
BUSH
Title or Position: MANAGER / OWNER
Credential: RPH
Phone: 205-769-6300