Organization
MILLS PHARMACY AT EUTAW LLC
Active
Other names
Mills Pharmacy at Eutaw
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH HARDIN PHARMD (OWNER)
(205) 427-0955
Entity
Organization
Contact information
Practice address
306 MORROW AVE, EUTAW, AL 35462-1108
(205) 372-0500
(205) 372-0015
Mailing address
PO BOX 26679, BIRMINGHAM, AL 35260-0679
(205) 871-9007
(205) 874-9946
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114808
AL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215422
—
AL
01
—
2177532
PK
—
Enumeration date
05/08/2018
Last updated
04/10/2020
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