Provider Demographics
NPI:1245708049
Name:AMERICAN PHARMACY COOPERATIVE, INC.
Entity type:Organization
Organization Name:AMERICAN PHARMACY COOPERATIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-277-1496
Mailing Address - Street 1:5611 SHIRLEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-3402
Mailing Address - Country:US
Mailing Address - Phone:205-277-1496
Mailing Address - Fax:205-263-0381
Practice Address - Street 1:5611 SHIRLEY PARK DR
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-3402
Practice Address - Country:US
Practice Address - Phone:205-277-1496
Practice Address - Fax:205-263-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0003XSuppliersPharmacyManaged Care Organization Pharmacy