=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467213041
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EMERGING RX, LLC DBA EMERGING HOME CARE PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2024
-----------------------------------------------------
Last Update Date | 01/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3868 HIGHWAY 431
-----------------------------------------------------
City | ROANOKE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36274-2640
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-863-7511
-----------------------------------------------------
Fax | 334-863-7500
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 875 ROSS ST
-----------------------------------------------------
City | HEFLIN
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36264-1131
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-463-2197
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | FRANK TANT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 770-680-1997
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------