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Organization
TRUSSVILLE TOTAL CARE PHARMACY LLC
Active
Organization
TRUSSVILLE TOTAL CARE PHARMACY LLC
Active
Other names
Carroll Pharmacy Trussville
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CARROLL R.PH (OWNER)
(205) 680-5557
Entity
Organization
Contact information
Practice address
115 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1376
(205) 655-3455
(205) 655-3425
Mailing address
PO BOX 252, CLAY, AL 35048-0252
(205) 655-3455
(205) 655-3425
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
NULL
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113409
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000120600
—
AL
01
—
2125450
PK
—
Enumeration date
06/22/2010
Last updated
01/15/2019
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