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Organization
ALABAMA DEPARTMENT OF REHABILITATION SERVICES
Active
Organization
ALABAMA DEPARTMENT OF REHABILITATION SERVICES
Active
Other names
Children's Rehabilitation Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL STEVEN SHIVERS (COMMISSIONER)
(334) 613-2200
Entity
Organization
Contact information
Practice address
2129 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 613-2200
(334) 613-1973
Mailing address
2129 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 613-2200
(334) 613-1973
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-44313
CHILDRENS REHAB SVC PHARM
AL
Enumeration date
07/16/2007
Last updated
08/22/2020
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