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Organization
DOUBLE OAK MOUNTAIN PHARMACY LLC
Active
Organization
DOUBLE OAK MOUNTAIN PHARMACY LLC
Active
Other names
Double Oak Mountain Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FEICK RPH (OWNER/TCH/AO)
(205) 991-0800
Entity
Organization
Contact information
Practice address
5510 HIGHWAY 280 STE 123, BIRMINGHAM, AL 35242-6582
(205) 991-0800
(205) 991-0810
Mailing address
5510 HIGHWAY 280 STE 123, BIRMINGHAM, AL 35242-6582
(205) 991-0800
(205) 991-0810
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113854
AL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135221
—
AL
01
—
2133626
PK
—
Enumeration date
01/30/2012
Last updated
02/18/2016
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