Organization
HEALTH STRIDES, INC.
Active
Other names
Over the Mountain Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEA MARIE WOLSONCROFT RPH (PRESIDENT)
(205) 824-0775
Entity
Organization
Contact information
Practice address
4268 CAHABA HEIGHTS CT, SUITE 103, VESTAVIA, AL 35243-5711
(205) 824-0775
(205) 313-5791
Mailing address
4268 CAHABA HEIGHTS CT, SUITE 103, VESTAVIA, AL 35243-5711
(205) 824-0775
(205) 313-5791
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
112116
AL
3336C0003X
Community/Retail Pharmacy
112116
AL
3336C0004X
Compounding Pharmacy
112116
AL
3336S0011X
Specialty Pharmacy
112116
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003310
—
AL
Enumeration date
07/14/2005
Last updated
03/16/2017
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