Organization
GUARDIAN PHARMACY OF BIRMINGHAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BOYD (PRESIDENT)
(205) 879-5300
Entity
Organization
Contact information
Practice address
1100 7TH AVE, JASPER, AL 35501-4377
(205) 397-4660
(205) 397-4661
Mailing address
PO BOX 11407, DEPT #2397, BIRMINGHAM, AL 35246-2397
(404) 554-1647
(404) 554-1648
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
114449
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168682
—
AL
01
—
2149782
PK
—
Enumeration date
01/20/2015
Last updated
12/14/2017
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