# NORTH BALDWIN FAMILY PHARMACY, LLC,

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

## Provider details

- **NPI number:** 1780650911
- **Authorized official:** MRS. JANET GREEN CHASTANG RPH (PHARMACIST)
- **Authorized official phone:** (251) 937-9623

## Contact information

- **Practice address:** 2012 HAND AVE, BAY MINETTE, AL 36507-4115
- **Practice address phone:** (251) 937-9623
- **Practice address fax:** (251) 937-2250
- **Mailing address:** 2012 HAND AVE, BAY MINETTE, AL 36507-4115
- **Mailing address phone:** (251) 937-9623
- **Mailing address fax:** (251) 937-2250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | 4305 | AL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2006
- **Last updated:** 05/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009969140 | — | AL |
| 05 | — | 100000087 | — | AL |