Organization
MONROVIA PHARMACY LLC
Active
Other names
Monrovia Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DOOLEY (OWNER)
(850) 585-9200
Entity
Organization
Contact information
Practice address
1878 JEFF RD NW STE D, HUNTSVILLE, AL 35806-4261
(256) 489-7626
Mailing address
1878 JEFF RD NW, SUITE D, HUNTSVILLE, AL 35806-4260
(256) 489-7626
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113412
AL
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136730
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/26/2010
Last updated
04/01/2011
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