MEDICARE: S & S PHARMACEUTICALS 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	333600000X	Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	3336C0003X	Community/Retail Pharmacy	112729	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1995724	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629052360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S & S PHARMACEUTICALS LLC

Provider Business Mailing Address
First Line	:	2648 MOUNT OLIVE RD
Second Line	:
City	:	MOUNT OLIVE
State	:	AL
Zip	:	35117-3925
Country	:	US
Telephone Number	:	205-631-1201
Fax Number	:	205-608-1596

Provider Business Practice Location Address
First Line	:	2648 MOUNT OLIVE RD
Second Line	:
City	:	MOUNT OLIVE
State	:	AL
Zip	:	35117-3925
Country	:	US
Telephone Number	:	205-631-1201
Fax Number	:	205-608-1596

Authorized Official
Title or Position	:	MANAGER
Name	:	STEVE MULLENIX
Credential	:	RPH
Telephone Number	:	205-631-1201

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	09/26/2014

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Directions to “S & S PHARMACEUTICALS LLC ” Practice Location

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