# MONROVIA PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monrovia Pharmacy, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093029530
- **Authorized official:** MICHAEL DOOLEY (OWNER)
- **Authorized official phone:** (850) 585-9200

## Contact information

- **Practice address:** 1878 JEFF RD NW STE D, HUNTSVILLE, AL 35806-4261
- **Practice address phone:** (256) 489-7626
- **Mailing address:** 1878 JEFF RD NW, SUITE D, HUNTSVILLE, AL 35806-4260
- **Mailing address phone:** (256) 489-7626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 113412 | AL | Yes |
| 3336I0012X | Institutional Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/26/2010
- **Last updated:** 04/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0136730 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |