Healthcare Provider Details
I. General information
NPI: 1639103823
Provider Name (Legal Business Name): ACRO PHARMACEUTICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2006
Last Update Date: 03/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
313 HENDERSON DRIVE
SHARON HILL PA
19079-1034
US
IV. Provider business mailing address
13034 BALLANTYNE CORPORATE PLACE
CHARLOTTE NC
28277-1034
US
V. Phone/Fax
- Phone: 484-494-8213
- Fax: 484-494-8235
- Phone: 484-494-8217
- Fax: 484-494-8235
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | PP481344 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336H0001X |
| Taxonomy | Home Infusion Therapy Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BRETT
FURCHNER
Title or Position: PRESIDENT
Credential:
Phone: 484-494-8217