Healthcare Provider Details

I. General information

NPI: 1447452834
Provider Name (Legal Business Name): HEMACARE PLUS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11143 OLD HIGHWAY 31
SPANISH FORT AL
36527-5633
US

IV. Provider business mailing address

11143 OLD HIGHWAY 31
SPANISH FORT AL
36527-5633
US

V. Phone/Fax

Practice location:
  • Phone: 251-621-8499
  • Fax: 251-621-3950
Mailing address:
  • Phone: 251-621-8499
  • Fax: 251-621-3950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number112808
License Number StateAL

VIII. Authorized Official

Name: MR. DAN C MCCONAGHY
Title or Position: PHARMACIST
Credential: RPH
Phone: 251-621-8499