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Organization

ALABAMA DEPARTMENT OF REHABILITATION SERVICES

Active
Other names
Children's Rehabilitation Service
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RUSSELL STEVEN SHIVERS (COMMISSIONER)
(334) 613-2200
Entity
Organization

Contact information

Practice address
2129 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 613-2200
(334) 613-1973
Mailing address
2129 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 613-2200
(334) 613-1973

Taxonomy

Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-44313
CHILDRENS REHAB SVC PHARM
AL
Enumeration date
07/16/2007
Last updated
08/22/2020
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