Organization
TRUSSVILLE TOTAL CARE PHARMACY LLC
Active
Other names
Carroll Pharmacy Trussville
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CARROLL R.PH (OWNER)
(205) 680-5557
Entity
Organization
Contact information
Practice address
115 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1376
(205) 655-3455
(205) 655-3425
Mailing address
PO BOX 252, CLAY, AL 35048-0252
(205) 655-3455
(205) 655-3425
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113409
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000120600
—
AL
01
—
2125450
PK
—
Enumeration date
06/22/2010
Last updated
01/15/2019
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