Healthcare Provider Details

I. General information

NPI: 1720294994
Provider Name (Legal Business Name): HELIOS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 S CRAFT HWY
CHICKASAW AL
36611-2213
US

IV. Provider business mailing address

426 S CRAFT HWY
CHICKASAW AL
36611-2213
US

V. Phone/Fax

Practice location:
  • Phone: 251-456-4172
  • Fax: 251-456-4175
Mailing address:
  • Phone: 251-456-4172
  • Fax: 251-456-4175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number106746
License Number StateAL

VIII. Authorized Official

Name: MR. STAVROS L LADAS
Title or Position: PHARMACIST
Credential:
Phone: 251-456-4172