Organization
MARGARET PHARMACY LLC
Active
Other names
Margaret Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ROSS RPH (OWNER/PIC/AO)
(205) 319-1999
Entity
Organization
Contact information
Practice address
145 JEFFREY WILSON DR, ODENVILLE, AL 35120-5575
(205) 319-1999
(205) 629-0301
Mailing address
145 JEFFREY WILSON DR, ODENVILLE, AL 35120-5575
(205) 319-1999
(205) 629-0301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114548
AL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179889
—
AL
01
—
2155060
PK
—
Enumeration date
11/17/2015
Last updated
07/19/2018
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