Organization
TOTAL SKIN & BEAUTY PHARMACY LLC
Active
Other names
Total Skin & Beauty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KRELL (OWNER)
(205) 533-9112
Entity
Organization
Contact information
Practice address
2100 16TH AVE S STE 112, BIRMINGHAM, AL 35205-5021
(205) 380-6170
(205) 380-6172
Mailing address
1620 W NORTHWEST HWY, SUITE 100, GRAPEVINE, TX 76051-3177
(817) 572-0009
(817) 720-1039
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113818
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132380
PK
—
Enumeration date
10/19/2011
Last updated
03/23/2017
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