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Organization

MODERN MEDICAL CONCEPTS HOMECARE, INC

Active
Other names
MMC HOMECARE
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH E KLEINKLAUS RPH (PHARMACIST)
(256) 442-5225
Entity
Organization

Contact information

Practice address
110 MMC PKWY, RAINBOW CITY, AL 35906-5852
(256) 442-5225
Mailing address
110 MMC PKWY, RAINBOW CITY, AL 35906-5852
(256) 442-5225

Taxonomy

Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
110743
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002839
AL
01
51044134
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
05/09/2008
Last updated
05/09/2008
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