# HEAVENLY CARE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heavenly Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417372046
- **Authorized official:** SANTONIA DAVISON PHARM D (OWNER)
- **Authorized official phone:** (205) 434-1427

## Contact information

- **Practice address:** 617 9TH AVE N, BESSEMER, AL 35020-5368
- **Practice address phone:** (205) 434-1427
- **Practice address fax:** (205) 565-8329
- **Mailing address:** PO BOX 1686, BESSEMER, AL 35021-1686
- **Mailing address phone:** (205) 434-1427
- **Mailing address fax:** (205) 565-8329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114300 | AL | Yes |

## Other

- **Enumeration date:** 02/18/2014
- **Last updated:** 02/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 158195 | — | AL |
| 01 | — | 2144363 | PK | — |