Provider Demographics
NPI:1104380252
Name:AHCS SPECIALTY CARE LLC
Entity Type:Organization
Organization Name:AHCS SPECIALTY CARE LLC
Other - Org Name:AHCS SPECIALTY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEVIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JHAVERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-518-0659
Mailing Address - Street 1:1820 TRIBUTE RD STE G
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4307
Mailing Address - Country:US
Mailing Address - Phone:916-518-0659
Mailing Address - Fax:916-665-4205
Practice Address - Street 1:1820 TRIBUTE RD STE G
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4307
Practice Address - Country:US
Practice Address - Phone:916-518-0659
Practice Address - Fax:916-665-4205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy