Organization
ALABAMA LTC PHARMACY LLC
Active
Other names
Alabama LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN DAVIS (PRESIDENT)
(205) 632-5455
Entity
Organization
Contact information
Practice address
611 MCFARLAND BLVD STE D, NORTHPORT, AL 35476-3333
(205) 632-5455
(205) 333-6201
Mailing address
611 MCFARLAND BLVD STE D, NORTHPORT, AL 35476-3333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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