Medistat Rx

LBN: Medistat Rx, Llc
Medistat Rx is an health care organization with primary practice located at 110 E Azalea Ave , Foley AL 36535-2540. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Medistat Rx, Llc can be contacted via phone (251) 923-2525, or through Acker, Mark via phone (855) 737-2550.

Contact Information

Primary practice address
110 E Azalea Ave Foley AL 36535-2540
Phone: (251) 923-2525
Fax: (866) 310-2803
Website:
Map and Directions
Authorized official contact:
Name: Acker, Mark
Phone: (855) 737-2550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 113031 Alabama

Profile Details

NPI number 1366627770
LBN Legal business name Medistat Rx, Llc
DBA Doing business as Medistat Rx
Authorized official Acker, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2008
Last updated Dec 19th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366627770 NPPES
Other 1996235 PK

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