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Organization

APOTHECARY SHACK LLC

Active
Other names
Apothecary Shack Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARKEZ FAIR (EXECUTIVE DIRECTOR)
(334) 593-4242
Entity
Organization

Contact information

Practice address
6120 OLD POST LN, MONTGOMERY, AL 36116-7132
(334) 593-4242
Mailing address
PO BOX 831182, TUSKEGEE, AL 36083-1182
(334) 593-4242

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
163W00000X
Registered Nurse
164W00000X
Licensed Practical Nurse
171400000X
Health & Wellness Coach
175F00000X
Naturopath
207R00000X
Internal Medicine Physician
208100000X
Physical Medicine & Rehabilitation Physician
213E00000X
Podiatrist
225700000X
Massage Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
251E00000X
Home Health Agency
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
363L00000X
Nurse Practitioner
374U00000X
Home Health Aide

Other

Enumeration date
03/03/2022
Last updated
03/04/2022
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