Organization
HIBBETT PATIENT CARE
Active
Other names
Hibbett Patient Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KNEELAND HIBBETT (MANAGING PARTNER)
(256) 764-4675
Entity
Organization
Contact information
Practice address
220 W TENNESSEE ST STE 1, FLORENCE, AL 35630-5438
(256) 764-4675
(256) 764-4674
Mailing address
220 W TENNESSEE ST STE 1, FLORENCE, AL 35630-5438
(256) 764-4675
(256) 764-4674
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
113459
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127903
PK
—
Enumeration date
12/06/2010
Last updated
08/23/2013
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