Organization
PHARMACY SERVICES LLC
Active
Other names
PHARMACY SERVICE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS GADDY (PRESIDENT)
(251) 621-0433
Entity
Organization
Contact information
Practice address
101A VILLA DR, DAPHNE, AL 36526-4653
(251) 621-0433
(251) 621-0434
Mailing address
101A VILLA DR, DAPHNE, AL 36526-4653
(251) 621-0433
(251) 621-0434
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113275
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136689
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/01/2010
Last updated
09/01/2010
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