Organization
SEALE HARRIS CLINIC PA
Active
Other names
Seale Harris Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BENTLEY (CONSULTANT PHARMACIST)
(205) 769-3779
Entity
Organization
Contact information
Practice address
805 SAINT VINCENTS DR STE 520, BIRMINGHAM, AL 35205-1636
(205) 769-3770
(205) 745-4505
Mailing address
805 SAINT VINCENTS DR, SUITE 520, BIRMINGHAM, AL 35205-1636
(205) 769-3770
(205) 745-4505
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
113722
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137150
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/27/2011
Last updated
07/05/2011
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