Healthcare Provider Details

I. General information

NPI: 1346210549
Provider Name (Legal Business Name): BIOPLUS SPECIALTY INFUSION AL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 09/02/2025
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2511 ROSS CLARK CIR
DOTHAN AL
36301-4912
US

IV. Provider business mailing address

2511 ROSS CLARK CIRCLE
DOTHAN AL
36301
US

V. Phone/Fax

Practice location:
  • Phone: 334-794-1126
  • Fax: 334-793-0592
Mailing address:
  • Phone: 334-794-1126
  • Fax: 334-793-0592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number110739
License Number StateAL

VIII. Authorized Official

Name: ASHLEY SHEEHAN
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 855-733-3126