Healthcare Provider Details

I. General information

NPI: 1396785143
Provider Name (Legal Business Name): HEALTH SVC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 01/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 MOBILE HWY
MONTGOMERY AL
36108-4027
US

IV. Provider business mailing address

3060 MOBILE HWY
MONTGOMERY AL
36108-4027
US

V. Phone/Fax

Practice location:
  • Phone: 334-293-6670
  • Fax: 334-293-6671
Mailing address:
  • Phone: 334-293-6670
  • Fax: 334-293-6671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number110355
License Number StateAL

VIII. Authorized Official

Name: R ALLEN MCDANIEL
Title or Position: PHCY DIRECTOR
Credential: RPH
Phone: 334-263-2301