Provider Demographics
NPI:1578806071
Name:ACCURATE RX PHARMACY CONSULTING, LLC
Entity Type:Organization
Organization Name:ACCURATE RX PHARMACY CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER AND SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SABAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-768-9130
Mailing Address - Street 1:4100 S SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2683
Mailing Address - Country:US
Mailing Address - Phone:810-768-9000
Mailing Address - Fax:855-603-5113
Practice Address - Street 1:103 CORPORATE LAKE DR
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-7290
Practice Address - Country:US
Practice Address - Phone:573-256-4279
Practice Address - Fax:573-442-6429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2017023088OtherMISSOURI BOARD OF PHARMACY
MO2017023088OtherMISSOURI BOARD OF PHARMACY