Provider Demographics
NPI:1942699228
Name:ALLIANCE ALLERGY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ALLIANCE ALLERGY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:SELIGSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-416-6579
Mailing Address - Street 1:3008 CLAIRMONT AVE S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1113
Mailing Address - Country:US
Mailing Address - Phone:205-983-7806
Mailing Address - Fax:888-445-4841
Practice Address - Street 1:3008 CLAIRMONT AVE S
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1113
Practice Address - Country:US
Practice Address - Phone:205-983-7806
Practice Address - Fax:888-445-4841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1141073336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy