# GARDENDALE HEALTH MART PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mills Pharmacy at Gardendale
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306218367
- **Authorized official:** JOSH HARDIN PHARMD (OWNER)
- **Authorized official phone:** (205) 427-0955

## Contact information

- **Practice address:** 439 FIELDSTOWN RD STE 145, GARDENDALE, AL 35071-3301
- **Practice address phone:** (205) 631-8989
- **Mailing address:** PO BOX 26679, BIRMINGHAM, AL 35260-0679
- **Mailing address phone:** (205) 871-9007
- **Mailing address fax:** (205) 874-9946

## Taxonomy

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

## Other

- **Enumeration date:** 10/29/2015
- **Last updated:** 02/22/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 18122 | — | AL |