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Organization
ALABAMA LTC PHARMACY LLC
Active
Organization
ALABAMA LTC PHARMACY LLC
Active
Other names
Alabama LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN DAVIS (PRESIDENT)
(205) 632-5455
Entity
Organization
Contact information
Practice address
611 MCFARLAND BLVD STE D, NORTHPORT, AL 35476-3333
(205) 632-5455
(205) 333-6201
Mailing address
611 MCFARLAND BLVD STE D, NORTHPORT, AL 35476-3333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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