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Organization
HEAVENLY CARE PHARMACY LLC
Active
Organization
HEAVENLY CARE PHARMACY LLC
Active
Other names
Heavenly Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANTONIA DAVISON PHARM D (OWNER)
(205) 434-1427
Entity
Organization
Contact information
Practice address
617 9TH AVE N, BESSEMER, AL 35020-5368
(205) 434-1427
(205) 565-8329
Mailing address
PO BOX 1686, BESSEMER, AL 35021-1686
(205) 434-1427
(205) 565-8329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
114300
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158195
—
AL
01
—
2144363
PK
—
Enumeration date
02/18/2014
Last updated
02/15/2017
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