Organization
HERITAGE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY B FULGHAM (VICE PRESIDENT OF OPERATIONS)
(251) 343-9600
Entity
Organization
Contact information
Practice address
3151 KNOLLWOOD DR, MOBILE, AL 36693-2753
(251) 661-7600
(251) 602-9160
Mailing address
6207 COTTAGE HILL RD, SUITE G, MOBILE, AL 36609-3113
(251) 666-0250
(251) 660-1451
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
200374
AL
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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