Organization
PHARMACY MANAGEMENT GROUP
Active
Other names
TOTAL CARE PHARMACY OF WINFIELD
Organization subpart
No
Provider details
NPI number
Authorized official
RON HARRIS (COE MANG MEMBER)
(662) 327-4025
Entity
Organization
Contact information
Practice address
186 MEDICAL DR, WINFIELD, AL 35594-5002
(205) 487-6428
(205) 487-4515
Mailing address
101 12TH ST S, COLUMBUS, MS 39701-5830
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
111792
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129482
OTHER ID NUMBER
—
Enumeration date
06/19/2006
Last updated
10/18/2007
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