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Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Organization
UNIVERSITY OF SOUTH ALABAMA
Active
Parent organization
UNIVERSITY OF SOUTH ALABAMA
Other names
MCIRx, Mitchell Cancer Institute Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF SOUTH ALABAMA
Authorized official
CAROLYN DEMOUY (PHARMACY COORDINATOR)
(251) 410-6337
Entity
Organization
Contact information
Practice address
1660 SPRING HILL AVE, MOBILE, AL 36604-1405
(251) 410-6337
(251) 410-4955
Mailing address
1660 SPRING HILL AVE, MOBILE, AL 36604-1405
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143482
NCPDP
AL
Enumeration date
05/09/2018
Last updated
03/07/2023
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