Organization
VICKERS PRIORITY CARE PHARMACY LLC
Active
Other names
VICKERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KONIE MINGA RPH (PRESIDENT)
(888) 980-1985
Entity
Organization
Contact information
Practice address
31040 1ST AVE NE SUITE 5, CARBON HILL, AL 35549
(205) 924-9999
(205) 924-1998
Mailing address
31040 1ST AVE NE SUITE 5, CARBON HILL, AL 35549
(205) 924-9999
(205) 924-1998
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
109916
AL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001926
—
AL
01
—
1990918
PK
—
Enumeration date
12/04/2006
Last updated
07/21/2022
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