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Organization
DEANS LONG TERM CARE PHARMACY LLC
Active
Organization
DEANS LONG TERM CARE PHARMACY LLC
Active
Other names
DEANS LONG TERM CARE PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BISHOP RPH (MANAGING MEMBER)
(256) 927-5574
Entity
Organization
Contact information
Practice address
697 CEDAR BLUFF RD, CENTRE, AL 35960-1631
(256) 927-5574
(256) 927-5576
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(256) 927-5574
(256) 927-5576
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
112507
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132629
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100003606
—
AL
Enumeration date
11/09/2006
Last updated
01/11/2013
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