Healthcare Provider Details

I. General information

NPI: 1902843717
Provider Name (Legal Business Name): HEMACARE PLUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 10/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8909 RAND AVE STE B
DAPHNE AL
36526-9126
US

IV. Provider business mailing address

8909 RAND AVE STE B
DAPHNE AL
36526-9126
US

V. Phone/Fax

Practice location:
  • Phone: 251-621-8499
  • Fax: 251-621-3950
Mailing address:
  • Phone: 251-621-8499
  • Fax: 251-621-3950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number112808
License Number StateAL

VIII. Authorized Official

Name: DARLA K DIXON
Title or Position: PRESIDENT
Credential: RN, BSN
Phone: 251-463-2191