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Organization

ALABAMA DEPT OF PUBLIC HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT WHEAT (ACTING DIRECTOR OF FINANCIAL OPERAT)
(334) 206-5364
Entity
Organization

Contact information

Practice address
2090 COLUMBIANA ROAD, SUITE 1200, BIRMINGHAM, AL 35216
(205) 552-1702
(800) 292-0938
Mailing address
2090 COLUMBIANA RD, SUITE 1200, BIRMINGHAM, AL 35216
(205) 552-1702
(800) 292-0938

Taxonomy

Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
02553
AL
3336M0002X
Mail Order Pharmacy
Primary
110781
AL

Other

Enumeration date
06/09/2008
Last updated
12/10/2014
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