Healthcare Provider Details
I. General information
NPI: 1275706988
Provider Name (Legal Business Name): ACCESS AMERICARE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/02/2008
Last Update Date: 06/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1865 W WOOLBRIGHT RD
BOYNTON BEACH FL
33426-6321
US
IV. Provider business mailing address
1865 W WOOLBRIGHT RD
BOYNTON BEACH FL
33426-6321
US
V. Phone/Fax
- Phone: 561-734-0036
- Fax: 561-734-0039
- Phone: 561-734-0036
- Fax: 561-734-0039
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PH23335 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLAUDETTE
RICHARDS
Title or Position: PHCY DIRECTOR
Credential: RPH
Phone: 561-734-0036