# THE BIBB COUNTY HEALTH CARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bibb Medical Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104530963
- **Authorized official:** HEATHER DESMOND (VICE-PRESIDENT/CFO)
- **Authorized official phone:** (205) 926-3281

## Contact information

- **Practice address:** 208 PIERSON AVE, CENTREVILLE, AL 35042-2918
- **Practice address phone:** (205) 926-3277
- **Mailing address:** 208 PIERSON AVE, CENTREVILLE, AL 35042-2918
- **Mailing address phone:** (205) 926-3281

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2023
- **Last updated:** 01/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100010134 | — | AL |