Provider Demographics
NPI:1669682233
Name:APPLIED PHARMACY SERVICES, INC
Entity Type:Organization
Organization Name:APPLIED PHARMACY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-478-0758
Mailing Address - Street 1:3207 INTERNATIONAL DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-3020
Mailing Address - Country:US
Mailing Address - Phone:251-478-0758
Mailing Address - Fax:
Practice Address - Street 1:3207 INTERNATIONAL DR
Practice Address - Street 2:SUITE F
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3020
Practice Address - Country:US
Practice Address - Phone:251-478-0758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1122403336C0003X, 3336C0004X
AK5703336C0004X, 3336M0002X
AL2010883336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered3336C0004XSuppliersPharmacyCompounding Pharmacy
Not Answered3336M0002XSuppliersPharmacyMail Order Pharmacy