Healthcare Provider Details
I. General information
NPI: 1467213041
Provider Name (Legal Business Name): EMERGING RX, LLC DBA EMERGING HOME CARE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2024
Last Update Date: 01/19/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3868 HIGHWAY 431
ROANOKE AL
36274-2640
US
IV. Provider business mailing address
875 ROSS ST
HEFLIN AL
36264-1131
US
V. Phone/Fax
- Phone: 334-863-7511
- Fax: 334-863-7500
- Phone: 256-463-2197
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FRANK
TANT
Title or Position: OWNER
Credential:
Phone: 770-680-1997