# GUARDIAN PHARMACY OF BIRMINGHAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHERN PHARMACEUTICAL SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831129519
- **Authorized official:** PHILIP BOYD (PRESIDENT)
- **Authorized official phone:** (205) 879-5300

## Contact information

- **Practice address:** 1950 CRESTWOOD BLVD, IRONDALE, AL 35210-2034
- **Practice address phone:** (205) 879-5300
- **Practice address fax:** (205) 879-5320
- **Mailing address:** GUARDIAN PHARMACY OF BIRMINGHAM DEPT 2397, P.O. BOX 11407, BIRMINGHAM, AL 35246-0001
- **Mailing address phone:** (404) 810-0089
- **Mailing address fax:** (404) 521-5056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 111890 | AL | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 09/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10003615 | — | AL |
| 01 | — | 1994851 | PK | — |