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Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Other names
UAB Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PETERSON PHARMD (DIRECTOR OF AMBULATORY OPERATI)
(205) 934-7862
Entity
Organization
Contact information
Practice address
601 19TH ST S, 4TH FLOOR QT, BIRMINGHAM, AL 35249-0001
(205) 934-2661
(205) 975-2562
Mailing address
601 19TH ST S, 4TH FLOOR QT, BIRMINGHAM, AL 35249-0001
(205) 934-2661
(205) 975-2562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010008
—
AL
01
—
1993485
PK
—
Enumeration date
09/12/2006
Last updated
11/12/2024
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