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Organization
HIBBETT PATIENT CARE
Active
Organization
HIBBETT PATIENT CARE
Active
Other names
Hibbett Patient Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KNEELAND HIBBETT (MANAGING PARTNER)
(256) 764-4675
Entity
Organization
Contact information
Practice address
220 W TENNESSEE ST STE 1, FLORENCE, AL 35630-5438
(256) 764-4675
(256) 764-4674
Mailing address
220 W TENNESSEE ST STE 1, FLORENCE, AL 35630-5438
(256) 764-4675
(256) 764-4674
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
113459
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127903
PK
—
Enumeration date
12/06/2010
Last updated
08/23/2013
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