Organization
HEALTH SVC INC
Active
Other names
MONTGOMERY PRIMERY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
R ALLEN MCDANIEL RPH (PHCY DIRECTOR)
(334) 263-2301
Entity
Organization
Contact information
Practice address
3060 MOBILE HWY, MONTGOMERY, AL 36108-4027
(334) 293-6670
(334) 293-6671
Mailing address
3060 MOBILE HWY, MONTGOMERY, AL 36108-4027
(334) 293-6670
(334) 293-6671
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
110355
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125155
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
10002635
—
AL
Enumeration date
06/08/2006
Last updated
01/18/2012
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