Provider Demographics
NPI:1225043854
Name:ACCESS PHARMACEUTICAL SERVICES COMPANY
Entity Type:Organization
Organization Name:ACCESS PHARMACEUTICAL SERVICES COMPANY
Other - Org Name:ACCESS PHARMACEUTICAL SERVCIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-605-1001
Mailing Address - Street 1:113 E SELLERS AVE
Mailing Address - Street 2:STE B
Mailing Address - City:RIDLEY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19078-2307
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:113 E SELLERS AVE
Practice Address - Street 2:STE B
Practice Address - City:RIDLEY PARK
Practice Address - State:PA
Practice Address - Zip Code:19078-2307
Practice Address - Country:US
Practice Address - Phone:866-605-1001
Practice Address - Fax:866-211-1416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4815323336C0003X
3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3985720OtherNCPDP PROVIDER IDENTIFICATION NUMBER