Organization
INSTITUTIONAL PHARMACY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MIMS (OWNER/PHARMACIST)
(334) 356-7627
Entity
Organization
Contact information
Practice address
700 E COTTONWOOD RD, DOTHAN, AL 36301-3644
(334) 794-7373
Mailing address
400 INTERSTATE PARK DR, SUITE 422, MONTGOMERY, AL 36109-5428
(334) 356-7627
(334) 356-7647
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
180152
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010020
—
AL
Enumeration date
08/30/2006
Last updated
09/18/2008
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