# ALABAMA LTC PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alabama LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750914545
- **Authorized official:** LOGAN DAVIS (PRESIDENT)
- **Authorized official phone:** (205) 632-5455

## Contact information

- **Practice address:** 611 MCFARLAND BLVD STE D, NORTHPORT, AL 35476-3333
- **Practice address phone:** (205) 632-5455
- **Practice address fax:** (205) 333-6201
- **Mailing address:** 611 MCFARLAND BLVD STE D, NORTHPORT, AL 35476-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/19/2020
- **Last updated:** 02/19/2020