Organization
THE MEDICINE CHEST WELLNESS CENTER INC, DBA INTEGRACARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY W OWENS RPH (RPH/ OWNER)
(205) 621-2310
Entity
Organization
Contact information
Practice address
514 FIRST STREET NORTH, SUITE 200, ALABASTER, AL 35007
(205) 621-2310
(205) 621-2318
Mailing address
514 FIRST STREET NORTH, SUITE 200, ALABASTER, AL 35007
(205) 621-2310
(205) 621-2318
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113037
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003063
—
AL
01
—
113037
NCPCP
AL
01
—
1266980001
MEDICARE
AL
Enumeration date
12/17/2007
Last updated
03/07/2023
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