Healthcare Provider Details
I. General information
NPI: 1851633614
Provider Name (Legal Business Name): AMERICAN RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2013
Last Update Date: 08/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
412 S COURT ST SUITE 300
FLORENCE AL
35630-5645
US
IV. Provider business mailing address
412 S COURT ST SUITE 300
FLORENCE AL
35630-5645
US
V. Phone/Fax
- Phone: 256-766-1700
- Fax: 256-766-1400
- Phone: 256-766-1700
- Fax: 266-766-1400
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 114061 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
WATSON
Title or Position: CEO
Credential:
Phone: 615-260-2808