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Organization
PROXYCARE OF ALABAMA INC
Active
Organization
PROXYCARE OF ALABAMA INC
Active
Other names
Proxycare Alabama Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FANDETTI (PRESIDENT)
(205) 441-2477
Entity
Organization
Contact information
Practice address
120 OXMOOR BLVD STE 120, BIRMINGHAM, AL 35209-5921
(205) 769-9771
(205) 769-9772
Mailing address
120 OXMOOR BLVD, SUITE 120, BIRMINGHAM, AL 35209-5953
(205) 769-9771
(205) 769-9772
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
113500
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136944
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/25/2011
Last updated
02/24/2011
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