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Organization
HUNTSVILLE COMPOUNDING PHARMACY INC
Active
Organization
HUNTSVILLE COMPOUNDING PHARMACY INC
Active
Other names
HUNTSVILLE COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GILLESPIE (OWNER)
(256) 425-0123
Entity
Organization
Contact information
Practice address
2121 WHITESBURG DR SE, STE E, HUNTSVILLE, AL 35801-4501
(256) 425-0123
(256) 425-0195
Mailing address
2121 WHITESBURG DR SE, STE E, HUNTSVILLE, AL 35801-4501
(256) 425-0123
(256) 425-0195
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112434
AL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132287
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
107937
—
AL
Enumeration date
10/04/2006
Last updated
02/26/2013
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