Healthcare Provider Details

I. General information

NPI: 1396711727
Provider Name (Legal Business Name): FAMILY MEDICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2006
Last Update Date: 02/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 HIGHWAY 78 E
JASPER AL
35501-4034
US

IV. Provider business mailing address

1640 HIGHWAY 78 E
JASPER AL
35501-4034
US

V. Phone/Fax

Practice location:
  • Phone: 205-221-3090
  • Fax:
Mailing address:
  • Phone: 205-221-3090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number103685
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. NEIL EVANS
Title or Position: PHARMACY MANAGER
Credential: R.PH.
Phone: 205-221-3090