Organization
AEVUM SPECIALTY COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MATTHEW OWENS (PRESIDENT)
(205) 378-8561
Entity
Organization
Contact information
Practice address
514 1ST ST N, ALABASTER, AL 35007-8765
(205) 406-0093
Mailing address
514 1ST ST N, ALABASTER, AL 35007-8765
(205) 406-0093
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
AL
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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