# HEALTH CLINIC PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Clinic Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598022188
- **Authorized official:** CHARLES COTTRELL (PRESIDENT)
- **Authorized official phone:** (251) 867-5454

## Contact information

- **Practice address:** 251 N BAYOU ST, MOBILE, AL 36603-5827
- **Practice address phone:** (251) 690-8817
- **Practice address fax:** (251) 544-2157
- **Mailing address:** PO BOX 129, GRAND BAY, AL 36541-0129
- **Mailing address phone:** (251) 865-1040
- **Mailing address fax:** (251) 865-1041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 113150 | AL | Yes |

## Other

- **Enumeration date:** 04/19/2012
- **Last updated:** 12/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 138255 | — | AL |
| 01 | — | 2135246 | PK | — |