Organization
MEDICINE CHEST WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY WAYNE OWNES RPH (RPH OWNER)
(205) 621-2310
Entity
Organization
Contact information
Practice address
514 FIRST STREET NORTH, ALABASTER, AL 35007
(205) 621-2310
(205) 621-2318
Mailing address
514 FIRST STREET NORTH, ALABASTER, AL 35007
(205) 621-2310
(205) 621-2318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22271
AL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000063063
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129103
NCPDP
—
05
—
100003063
—
AL
Enumeration date
12/01/2006
Last updated
05/24/2012
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