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Organization

ERNIES PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNEST KOCHEM RPH (OWNER)
(205) 663-6270
Entity
Organization

Contact information

Practice address
5135 C HWY 17, HELENA, AL 35080
(205) 663-6270
(205) 663-2609
Mailing address
5135 C HWY 17, HELENA, AL 35080

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
111874
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0130550
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
03/23/2007
Last updated
11/14/2007
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