# PROXYCARE OF ALABAMA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Proxycare Alabama Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700181542
- **Authorized official:** MARIA FANDETTI (PRESIDENT)
- **Authorized official phone:** (205) 441-2477

## Contact information

- **Practice address:** 120 OXMOOR BLVD STE 120, BIRMINGHAM, AL 35209-5921
- **Practice address phone:** (205) 769-9771
- **Practice address fax:** (205) 769-9772
- **Mailing address:** 120 OXMOOR BLVD, SUITE 120, BIRMINGHAM, AL 35209-5953
- **Mailing address phone:** (205) 769-9771
- **Mailing address fax:** (205) 769-9772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 113500 | AL | Yes |

## Other

- **Enumeration date:** 01/25/2011
- **Last updated:** 02/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0136944 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |