Organization
NORTH BALDWIN FAMILY PHARMACY, LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET GREEN CHASTANG RPH (PHARMACIST)
(251) 937-9623
Entity
Organization
Contact information
Practice address
2012 HAND AVE, BAY MINETTE, AL 36507-4115
(251) 937-9623
(251) 937-2250
Mailing address
2012 HAND AVE, BAY MINETTE, AL 36507-4115
(251) 937-9623
(251) 937-2250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
4305
AL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009969140
—
AL
05
—
100000087
—
AL
Enumeration date
02/27/2006
Last updated
05/23/2022
Update your record
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