Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Other names
UNIVERSITY MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PETERSON PHARMD (DIRECTOR OF AMBULATORY OPERAT)
(205) 934-7862
Entity
Organization
Contact information
Practice address
3220 5TH AVE S RM 2302, BIRMINGHAM, AL 35222-2309
(205) 975-5656
(205) 934-0140
Mailing address
3220 5TH AVE S RM 2302, BIRMINGHAM, AL 35222-2309
(205) 975-5656
(205) 934-0140
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
109853
AL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010009
—
AL
01
—
1991762
PK
—
Enumeration date
09/20/2006
Last updated
12/14/2020
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