# TOTAL SKIN & BEAUTY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Total Skin & Beauty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104101468
- **Authorized official:** JAMES KRELL (OWNER)
- **Authorized official phone:** (205) 533-9112

## Contact information

- **Practice address:** 2100 16TH AVE S STE 112, BIRMINGHAM, AL 35205-5021
- **Practice address phone:** (205) 380-6170
- **Practice address fax:** (205) 380-6172
- **Mailing address:** 1620 W NORTHWEST HWY, SUITE 100, GRAPEVINE, TX 76051-3177
- **Mailing address phone:** (817) 572-0009
- **Mailing address fax:** (817) 720-1039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 113818 | AL | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 03/23/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2132380 | PK | — |