# HEALTH SVC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MONTGOMERY PRIMERY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396785143
- **Authorized official:** R ALLEN MCDANIEL RPH (PHCY DIRECTOR)
- **Authorized official phone:** (334) 263-2301

## Contact information

- **Practice address:** 3060 MOBILE HWY, MONTGOMERY, AL 36108-4027
- **Practice address phone:** (334) 293-6670
- **Practice address fax:** (334) 293-6671
- **Mailing address:** 3060 MOBILE HWY, MONTGOMERY, AL 36108-4027
- **Mailing address phone:** (334) 293-6670
- **Mailing address fax:** (334) 293-6671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | 110355 | AL | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 01/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0125155 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 10002635 | — | AL |