Provider Demographics
NPI:1275142614
Name:ACROSS SPECIALTY PHARMACIES LLC
Entity Type:Organization
Organization Name:ACROSS SPECIALTY PHARMACIES LLC
Other - Org Name:ACROSS SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INCHARGE OF LICENSE
Authorized Official - Prefix:
Authorized Official - First Name:VU
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-723-9460
Mailing Address - Street 1:2579 LAWRENCEVILLE HWY STE A
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3206
Mailing Address - Country:US
Mailing Address - Phone:770-723-9460
Mailing Address - Fax:770-723-9461
Practice Address - Street 1:2579 LAWRENCEVILLE HWY STE A2
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3206
Practice Address - Country:US
Practice Address - Phone:770-746-0130
Practice Address - Fax:770-746-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-30
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy