Healthcare Provider Details
I. General information
NPI: 1518349562
Provider Name (Legal Business Name): ACRO PHARMACEUTICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2015
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7891 STAGE HILLS BLVD STE 111
BARTLETT TN
38133-4052
US
IV. Provider business mailing address
7891 STAGE HILLS BLVD STE 111
BARTLETT TN
38133-4052
US
V. Phone/Fax
- Phone: 484-494-8217
- Fax: 901-380-9288
- Phone: 484-494-8217
- Fax: 901-380-9288
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 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:
BRETT
FURCHNER
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 484-494-8217