# DEANS LONG TERM CARE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DEANS LONG TERM CARE PHARMACY LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053481655
- **Authorized official:** ROBERT BISHOP RPH (MANAGING MEMBER)
- **Authorized official phone:** (256) 927-5574

## Contact information

- **Practice address:** 697 CEDAR BLUFF RD, CENTRE, AL 35960-1631
- **Practice address phone:** (256) 927-5574
- **Practice address fax:** (256) 927-5576
- **Mailing address:** PO BOX 9830, SALT LAKE CITY, UT 84109-9830
- **Mailing address phone:** (256) 927-5574
- **Mailing address fax:** (256) 927-5576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 112507 | AL | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 01/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0132629 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 100003606 | — | AL |