MEDICARE: ACCURATE RX PHARMACY CONSULTING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2017023088	OTHER	MO	MISSOURI BOARD OF PHARMACY

General Provider Information

NPI Number	:	1578806071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCURATE RX PHARMACY CONSULTING, LLC

Provider Business Mailing Address
First Line	:	4100 S SAGINAW ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48507-2683
Country	:	US
Telephone Number	:	810-768-9000
Fax Number	:	855-603-5113

Provider Business Practice Location Address
First Line	:	103 CORPORATE LAKE DR
Second Line	:	SUITE B
City	:	COLUMBIA
State	:	MO
Zip	:	65203-7290
Country	:	US
Telephone Number	:	573-256-4279
Fax Number	:	573-442-6429

Authorized Official
Title or Position	:	TREASURER AND SECRETARY
Name	:	JOEL SABAN
Credential	:
Telephone Number	:	810-768-9130

Provider Enumeration Date	:	04/03/2013
Last Update Date	:	03/30/2018

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