Provider Demographics
NPI:1639103823
Name:ACRO PHARMACEUTICAL SERVICES LLC
Entity Type:Organization
Organization Name:ACRO PHARMACEUTICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:FURCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-494-8217
Mailing Address - Street 1:13034 BALLANTYNE CORPORATE PLACE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-1034
Mailing Address - Country:US
Mailing Address - Phone:484-494-8217
Mailing Address - Fax:484-494-8235
Practice Address - Street 1:313 HENDERSON DRIVE
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-1034
Practice Address - Country:US
Practice Address - Phone:484-494-8213
Practice Address - Fax:484-494-8235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP481344333600000X
3336H0001X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPP481344OtherPHARMACY LICENCE NUMBER
PA1010414210001Medicaid
PA5377840001Medicare NSC