# USA HEALTH PROVIDENCE RETAIL PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245913144
- **Authorized official:** BENNY J STOVER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (615) 850-6120

## Contact information

- **Practice address:** 6701 AIRPORT BLVD STE B 124, MOBILE, AL 36688-3053
- **Practice address phone:** (251) 266-2860
- **Practice address fax:** (251) 631-3166
- **Mailing address:** 307 N UNIVERSITY BLVD \# AD300, MOBILE, AL 36688-3053
- **Mailing address phone:** (251) 461-1475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/08/2023
- **Last updated:** 08/09/2023