Healthcare Provider Details

I. General information

NPI: 1356510499
Provider Name (Legal Business Name): HOSPISCRIPT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 ANN ST
MONTGOMERY AL
36107-3103
US

IV. Provider business mailing address

2124 WALBASH DR
MONTGOMERY AL
36116-1365
US

V. Phone/Fax

Practice location:
  • Phone: 334-956-7500
  • Fax:
Mailing address:
  • Phone: 334-244-1326
  • Fax: 334-395-6164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number7062
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number7062
License Number StateAL

VIII. Authorized Official

Name: DR. JOHN P REDDEN
Title or Position: VP CLINICAL SERVICES
Credential: PHARMD
Phone: 334-956-7500