Organization
PROXYCARE OF ALABAMA INC
Active
Other names
Proxycare Alabama Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FANDETTI (PRESIDENT)
(205) 441-2477
Entity
Organization
Contact information
Practice address
120 OXMOOR BLVD STE 120, BIRMINGHAM, AL 35209-5921
(205) 769-9771
(205) 769-9772
Mailing address
120 OXMOOR BLVD, SUITE 120, BIRMINGHAM, AL 35209-5953
(205) 769-9771
(205) 769-9772
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
113500
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136944
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/25/2011
Last updated
02/24/2011
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