Provider Demographics
NPI:1912548769
Name:HEALTH ACCESS RX SERVICES
Entity Type:Organization
Organization Name:HEALTH ACCESS RX SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:352-584-0563
Mailing Address - Street 1:10000 GATE PKWY N APT 225
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-8206
Mailing Address - Country:US
Mailing Address - Phone:352-584-0563
Mailing Address - Fax:
Practice Address - Street 1:10000 GATE PKWY N APT 225
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-8206
Practice Address - Country:US
Practice Address - Phone:352-584-0563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1184154379OtherNPI