# UNIVERSITY OF ALABAMA AT BIRMINGHAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UNIVERSITY MEDICAL CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013014851
- **Authorized official:** JENNIFER PETERSON PHARMD (DIRECTOR OF AMBULATORY OPERAT)
- **Authorized official phone:** (205) 934-7862

## Contact information

- **Practice address:** 3220 5TH AVE S RM 2302, BIRMINGHAM, AL 35222-2309
- **Practice address phone:** (205) 975-5656
- **Practice address fax:** (205) 934-0140
- **Mailing address:** 3220 5TH AVE S RM 2302, BIRMINGHAM, AL 35222-2309
- **Mailing address phone:** (205) 975-5656
- **Mailing address fax:** (205) 934-0140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 109853 | AL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 12/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100010009 | — | AL |
| 01 | — | 1991762 | PK | — |