Organization
SWC PHARMACY LLC
Active
Other names
SWC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MINOR (VP OF PHARMACY OPERATIONS)
(205) 213-0600
Entity
Organization
Contact information
Practice address
832 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1320
(205) 397-4900
(205) 206-8464
Mailing address
PO BOX 710, TRUSSVILLE, AL 35173-0710
(205) 941-9945
(205) 655-5102
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113794
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137287
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
133298
—
AL
Enumeration date
08/18/2011
Last updated
03/06/2013
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