Provider Demographics
NPI:1558528315
Name:NORTH ALABAMA RADIOPHARMACY INC
Entity Type:Organization
Organization Name:NORTH ALABAMA RADIOPHARMACY INC
Other - Org Name:NORTH ALABAMA INFUSION AND COMPOUNDING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:AKIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-383-6309
Mailing Address - Street 1:2709 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-1388
Mailing Address - Country:US
Mailing Address - Phone:256-389-9297
Mailing Address - Fax:256-381-3475
Practice Address - Street 1:2709 2ND ST
Practice Address - Street 2:
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-1388
Practice Address - Country:US
Practice Address - Phone:256-389-9297
Practice Address - Fax:256-381-3475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X, 3336C0004X
AL1130943336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1996300OtherPK
AL009993775Medicaid