Provider Demographics
NPI:1033496054
Name:APAC CUSTOMER SERVICES, INC.
Entity Type:Organization
Organization Name:APAC CUSTOMER SERVICES, INC.
Other - Org Name:MEDCO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:563-285-2613
Mailing Address - Street 1:250 E 90TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-7340
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:250 E 90TH ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-7340
Practice Address - Country:US
Practice Address - Phone:563-285-2613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-04
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA11653336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1165OtherSTATE PHARMACY LICENSE