# NEIGHBORHOOD CONCIERGE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neighborhood Concierge Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356843304
- **Authorized official:** ALBERT JETER (OWNER, PRINCIPAL, AO)
- **Authorized official phone:** (843) 367-1164

## Contact information

- **Practice address:** 3532 VANN RD STE A, BIRMINGHAM, AL 35235-3262
- **Practice address phone:** (205) 900-2400
- **Practice address fax:** (205) 900-2405
- **Mailing address:** 3532 VANN RD STE A, BIRMINGHAM, AL 35235-3262
- **Mailing address phone:** (205) 900-2400
- **Mailing address fax:** (205) 900-2405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114812 | AL | Yes |

## Other

- **Enumeration date:** 03/06/2018
- **Last updated:** 08/27/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2177703 | PK | — |