OrganizationAdvanced Specialty Pharmacy Llc(Meds Iv, Inc)PharmacySuppliersPractice Address102 Oxmoor Rd, Ste 118, Birmingham, AL 35209-5979(205) 941-9848PECOS EnrollmentBased on the most recent information from CMS, provider Advanced Specialty Pharmacy Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1972769834Provider TypeOrganizationFull NameAdvanced Specialty Pharmacy LlcOther NameMeds Iv, IncSubpartNoEnumeration Date7/31/2008Last Updated1/18/2011Contact InformationPractice LocationPractice Address102 Oxmoor Rd, Ste 118, Birmingham, AL 35209-5979Phone(205) 941-9848Fax(888) 481-2041Mailing LocationMailing Address102 Oxmoor Rd, Ste 118, Birmingham, AL 35209-5979Phone(205) 941-9848Fax(888) 481-2041Authorized OfficialNameRogers, William (President)Phone(205) 941-9848Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense113100AlabamaCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerCode3336C0004XDescriptionPharmacySuppliersLicenseUnlisted IssuerCode3336L0003XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID0135548DescriptionOtherIssuerNCPDP PROVIDER IDENTIFICATION NUMBER