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Organization

USA HEALTH PROVIDENCE RETAIL PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BENNY J STOVER (CHIEF FINANCIAL OFFICER)
(615) 850-6120
Entity
Organization

Contact information

Practice address
6701 AIRPORT BLVD STE B 124, MOBILE, AL 36688-3053
(251) 266-2860
(251) 631-3166
Mailing address
307 N UNIVERSITY BLVD # AD300, MOBILE, AL 36688-3053
(251) 461-1475

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
08/08/2023
Last updated
08/09/2023
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