# NOLAND PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760184212
- **Authorized official:** MR. NICHOLAS V RENDA (EVP/CFO)
- **Authorized official phone:** (205) 783-8460

## Contact information

- **Practice address:** 101 VILLA DRIVE, SUITE A, DAPHNE, AL 36526-4653
- **Practice address phone:** (251) 621-4200
- **Mailing address:** 600 CORPORATE PARKWAY, SUITE 100, BIRMINGHAM, AL 35242-5451
- **Mailing address phone:** (205) 783-8460
- **Mailing address fax:** (205) 783-8450

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2023
- **Last updated:** 11/12/2024