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Organization
PHARMIX RX LLC
Active
Organization
PHARMIX RX LLC
Active
Other names
PharMix Rx, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLI ANTHONY (OWNER / PHARMACIST)
(334) 478-3522
Entity
Organization
Contact information
Practice address
66 VILLAGE LOOP, WETUMPKA, AL 36093-1221
(334) 478-3522
(334) 478-3518
Mailing address
66 VILLAGE LOOP, WETUMPKA, AL 36093-1221
(334) 478-3522
(334) 478-3518
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159418
PK
—
Enumeration date
04/04/2016
Last updated
04/11/2016
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