Organization
PROPHARM INC
Active
Other names
Healthcare and IV Services
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP R JENKINS (PRESIDENT)
(205) 339-5951
Entity
Organization
Contact information
Practice address
3500 NORTHBROOK DRIVE, SUITE E, NORTHPORT, AL 35473-5818
(205) 339-5951
Mailing address
3500 NORTHBROOK DR, SUITE E, NORTHPORT, AL 35473-5818
(205) 339-5951
(205) 330-2432
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0542360001
MEDICARE ID NUMBER
AL
Enumeration date
11/24/2006
Last updated
03/11/2008
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