Provider Demographics
NPI:1396034633
Name:AC GROUP SERVICES INC
Entity Type:Organization
Organization Name:AC GROUP SERVICES INC
Other - Org Name:AC GROUP SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-755-2361
Mailing Address - Street 1:1701 W FLAGLER ST
Mailing Address - Street 2:STE 221
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2098
Mailing Address - Country:US
Mailing Address - Phone:305-755-2361
Mailing Address - Fax:305-900-3140
Practice Address - Street 1:1701 W FLAGLER ST STE 221
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2018
Practice Address - Country:US
Practice Address - Phone:305-755-2361
Practice Address - Fax:305-900-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 248163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5706772OtherNCPDP PROVIDER IDENTIFICATION NUMBER