Organization
DOUBLE OAK MOUNTAIN PHARMACY LLC
Active
Other names
Double Oak Mountain Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FEICK RPH (OWNER/TCH/AO)
(205) 991-0800
Entity
Organization
Contact information
Practice address
5510 HIGHWAY 280 STE 123, BIRMINGHAM, AL 35242-6582
(205) 991-0800
(205) 991-0810
Mailing address
5510 HIGHWAY 280 STE 123, BIRMINGHAM, AL 35242-6582
(205) 991-0800
(205) 991-0810
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113854
AL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135221
—
AL
01
—
2133626
PK
—
Enumeration date
01/30/2012
Last updated
02/18/2016
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