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Organization
HEALTH CLINIC PHARMACY LLC
Active
Organization
HEALTH CLINIC PHARMACY LLC
Active
Other names
Health Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES COTTRELL (PRESIDENT)
(251) 867-5454
Entity
Organization
Contact information
Practice address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8817
(251) 544-2157
Mailing address
PO BOX 129, GRAND BAY, AL 36541-0129
(251) 865-1040
(251) 865-1041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113150
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138255
—
AL
01
—
2135246
PK
—
Enumeration date
04/19/2012
Last updated
12/11/2024
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