Organization
BOLLING PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TRENT MOBLEY R.PH. (PRESIDENT)
(205) 932-4513
Entity
Organization
Contact information
Practice address
101 TEMPLE AVE S, FAYETTE, AL 35555-2711
(205) 932-4513
(205) 932-9203
Mailing address
101 TEMPLE AVE S, FAYETTE, AL 35555-2711
(205) 932-4513
(205) 932-9203
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
101660
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106509
NCPDP
AL
Enumeration date
02/07/2007
Last updated
08/22/2020
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