Organization
HEALTH CLINIC PHARMACY LLC
Active
Other names
Health Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES COTTRELL (PRESIDENT)
(251) 867-5454
Entity
Organization
Contact information
Practice address
251 N BAYOU ST, MOBILE, AL 36603-5827
(251) 690-8817
(251) 544-2157
Mailing address
PO BOX 129, GRAND BAY, AL 36541-0129
(251) 865-1040
(251) 865-1041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113150
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138255
—
AL
01
—
2135246
PK
—
Enumeration date
04/19/2012
Last updated
12/11/2024
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