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Organization
MILLS PHARMACY AT EUTAW LLC
Active
Organization
MILLS PHARMACY AT EUTAW LLC
Active
Other names
Mills Pharmacy at Eutaw
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH HARDIN PHARMD (OWNER)
(205) 427-0955
Entity
Organization
Contact information
Practice address
306 MORROW AVE, EUTAW, AL 35462-1108
(205) 372-0500
(205) 372-0015
Mailing address
PO BOX 26679, BIRMINGHAM, AL 35260-0679
(205) 871-9007
(205) 874-9946
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
114808
AL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215422
—
AL
01
—
2177532
PK
—
Enumeration date
05/08/2018
Last updated
04/10/2020
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