Provider Demographics
NPI:1851121156
Name:ALLIANCE PHARMACY LLC
Entity type:Organization
Organization Name:ALLIANCE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MEHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-616-3886
Mailing Address - Street 1:100 SIMPSON ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4464
Mailing Address - Country:US
Mailing Address - Phone:864-729-8193
Mailing Address - Fax:864-729-8194
Practice Address - Street 1:100 SIMPSON ST UNIT B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4464
Practice Address - Country:US
Practice Address - Phone:864-729-8193
Practice Address - Fax:864-729-8194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy