Organization
JEFFERSON HEALTH SYSTEM PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN THOMPSON (DIRECTOR OF PHARMACY)
(205) 918-2352
Entity
Organization
Contact information
Practice address
2817 30TH AVE N, BIRMINGHAM, AL 35207-4541
(205) 521-6855
(205) 521-6854
Mailing address
601 WEST BLVD, BIRMINGHAM, AL 35206-1300
(205) 838-4310
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
140009
AL
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124507
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
100003671
—
AL
Enumeration date
06/08/2006
Last updated
12/18/2009
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