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Organization
APOTHECARY SHACK LLC
Active
Organization
APOTHECARY SHACK LLC
Active
Other names
Apothecary Shack Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARKEZ FAIR (EXECUTIVE DIRECTOR)
(334) 593-4242
Entity
Organization
Contact information
Practice address
6120 OLD POST LN, MONTGOMERY, AL 36116-7132
(334) 593-4242
Mailing address
PO BOX 831182, TUSKEGEE, AL 36083-1182
(334) 593-4242
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
175F00000X
Naturopath
—
NULL
175F00000X
Naturopath
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/03/2022
Last updated
03/04/2022
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