Organization
INJURY MED EXPRESS PHARMACY LLC
Active
Other names
Injury Med Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HAMMOND (MANAGING CONSULTANT)
(866) 832-2263
Entity
Organization
Contact information
Practice address
1410 US HIGHWAY 98, UNIT H, DAPHNE, AL 36526-5110
(888) 418-9808
(888) 484-5016
Mailing address
1410 US HIGHWAY 98, UNIT H, DAPHNE, AL 36526-5110
(888) 418-9808
(888) 484-5016
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
NP000017
PA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
113782
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131252
PK
—
Enumeration date
07/20/2011
Last updated
02/11/2016
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