Healthcare Provider Details
I. General information
NPI: 1740323492
Provider Name (Legal Business Name): USA HEALTHCARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
302 PRAIRIE ST N SUITE D
UNION SPRINGS AL
36089-1417
US
IV. Provider business mailing address
PO BOX 432
UNION SPRINGS AL
36089-0432
US
V. Phone/Fax
- Phone: 334-750-2103
- Fax:
- Phone: 334-750-2103
- Fax: 334-738-8050
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336I0012X |
| Taxonomy | Institutional Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BEN
G
MAIN
SR.
Title or Position: MGR
Credential:
Phone: 334-750-2103