Healthcare Provider Details

I. General information

NPI: 1225043854
Provider Name (Legal Business Name): ACCESS PHARMACEUTICAL SERVICES COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 05/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 E SELLERS AVE STE B
RIDLEY PARK PA
19078-2307
US

IV. Provider business mailing address

113 E SELLERS AVE STE B
RIDLEY PARK PA
19078-2307
US

V. Phone/Fax

Practice location:
  • Phone: 866-605-1001
  • Fax: 866-211-1416
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP481532
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KELLY JONES
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 866-605-1001