Provider Demographics
NPI:1366803231
Name:VULCAN RX, LLC
Entity type:Organization
Organization Name:VULCAN RX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-438-6377
Mailing Address - Street 1:2496 ROCKY RIDGE RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2850
Mailing Address - Country:US
Mailing Address - Phone:205-438-6377
Mailing Address - Fax:888-892-3452
Practice Address - Street 1:2496 ROCKY RIDGE RD
Practice Address - Street 2:SUITE 203
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-2850
Practice Address - Country:US
Practice Address - Phone:205-438-6377
Practice Address - Fax:888-892-3452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1144693336C0004X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding PharmacyGroup - Single Specialty