Organization
HUNTSVILLE COMPOUNDING PHARMACY INC
Active
Other names
HUNTSVILLE COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GILLESPIE (OWNER)
(256) 425-0123
Entity
Organization
Contact information
Practice address
2121 WHITESBURG DR SE, STE E, HUNTSVILLE, AL 35801-4501
(256) 425-0123
(256) 425-0195
Mailing address
2121 WHITESBURG DR SE, STE E, HUNTSVILLE, AL 35801-4501
(256) 425-0123
(256) 425-0195
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112434
AL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132287
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
107937
—
AL
Enumeration date
10/04/2006
Last updated
02/26/2013
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