Organization
POARCH CREEK HEALTH CLINIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON QUINN (PHARMACY DIRECTOR)
(251) 368-8630
Entity
Organization
Contact information
Practice address
5811 JACK SPRINGS RD, ATMORE, AL 36502-5025
(251) 368-8630
(251) 368-0832
Mailing address
5811 JACK SPRINGS RD, ATMORE, AL 36502-5025
(251) 368-8630
(251) 368-0832
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130574
NCPDP NUMBER
—
Enumeration date
05/22/2007
Last updated
03/07/2023
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