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Organization
SWC PHARMACY LLC
Active
Organization
SWC PHARMACY LLC
Active
Other names
SWC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MINOR (VP OF PHARMACY OPERATIONS)
(205) 213-0600
Entity
Organization
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 397-4900
(205) 206-8464
Mailing address
PO BOX 710, TRUSSVILLE, AL 35173-0710
(205) 941-9945
(205) 655-5102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113794
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137287
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
133298
—
AL
Enumeration date
08/18/2011
Last updated
03/06/2013
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