# PHARMACY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHARMACY SERVICE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558598458
- **Authorized official:** DENNIS GADDY (PRESIDENT)
- **Authorized official phone:** (251) 621-0433

## Contact information

- **Practice address:** 101A VILLA DR, DAPHNE, AL 36526-4653
- **Practice address phone:** (251) 621-0433
- **Practice address fax:** (251) 621-0434
- **Mailing address:** 101A VILLA DR, DAPHNE, AL 36526-4653
- **Mailing address phone:** (251) 621-0433
- **Mailing address fax:** (251) 621-0434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 113275 | AL | Yes |

## Other

- **Enumeration date:** 06/18/2009
- **Last updated:** 02/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0136069 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |