# TARA PHARMACY SE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073696365
- **Authorized official:** JAMES R COX II PHARM D (VICE PRESIDENT)
- **Authorized official phone:** (601) 664-1664

## Contact information

- **Practice address:** 211 SUMMIT PKWY, SUITE 112, HOMEWOOD, AL 35209-4751
- **Practice address phone:** (205) 916-2267
- **Mailing address:** 211 SUMMIT PKWY, SUITE 112, HOMEWOOD, AL 35209-4751
- **Mailing address phone:** (205) 916-2267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 112737 | AL | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 02/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0133493 | NCPDP NUMBER | — |
| 05 | — | 100003676 | — | AL |