Tara Pharmacy Se Llc

NPI 1073696365 - Pharmacy - 3336L0003X

NPI Details
NPI 1073696365
Enumeration Date 10/23/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARY ANN MARY ANN
Position SENIOR VICE PRESIDENT
Phone (716) 662-4955
Fax
Practice Location
211 SUMMIT PKWY
SUITE 112
HOMEWOOD AL, 35209-4751, US
Phone (716) 662-4955
Fax
Business Location
211 SUMMIT PKWY
SUITE 112
HOMEWOOD AL, 35209-4751, US
Phone (716) 662-4955
Fax
Toxanomy
Taxonomy Code 3336L0003X
License State Alabama
License Number 112737
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According to our database, Tara Pharmacy Se Llc NPI is 1073696365, taxonomy code is 3336L0003X and license number is 112737, license state is located at Alabama. Tara Pharmacy Se Llc physically located at 211 Summit Pkwy, Homewood AL, 35209-4751. NPI Number 1033115704 has the healthcare provider type.

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1073696365 NPI number is provided on an as is basis without warranty of any kind. 1073696365 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Pharmacy Se Llc are for informational purposes only.