Organization
NEIGHBORHOOD CONCIERGE PHARMACY LLC
Active
Other names
Neighborhood Concierge Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT JETER (OWNER, PRINCIPAL, AO)
(843) 367-1164
Entity
Organization
Contact information
Practice address
3532 VANN RD STE A, BIRMINGHAM, AL 35235-3262
(205) 900-2400
(205) 900-2405
Mailing address
3532 VANN RD STE A, BIRMINGHAM, AL 35235-3262
(205) 900-2400
(205) 900-2405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114812
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177703
PK
—
Enumeration date
03/06/2018
Last updated
08/27/2019
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