Healthcare Provider Details
I. General information
NPI: 1689616252
Provider Name (Legal Business Name): HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2006
Last Update Date: 11/29/2023
Certification Date: 11/29/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1845 CHERRY ST
MONTGOMERY AL
36107-2613
US
IV. Provider business mailing address
1000 ADAMS AVE
MONTGOMERY AL
36104-4424
US
V. Phone/Fax
- Phone: 334-420-5001
- Fax: 334-265-3181
- Phone: 334-263-2301
- Fax: 334-265-3181
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| License Number | 105120 |
| License Number State | AL |
VIII. Authorized Official
Name:
SUSIE
ANN
BEAL
Title or Position: CFO
Credential:
Phone: 334-420-5001