Jefferson Health System Pharmacy

LBN: Jefferson Health System Pharmacy
Jefferson Health System Pharmacy is an health care organization with primary practice located at 2817 30Th Ave N , Birmingham AL 35207-4541. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Jefferson Health System Pharmacy can be contacted via phone (205) 521-6855, or through Thompson, Glen via phone (205) 918-2352.

Contact Information

Primary practice address
2817 30Th Ave N Birmingham AL 35207-4541
Phone: (205) 521-6855
Fax: (205) 521-6854
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Glen
Phone: (205) 918-2352

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 140009 Alabama
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1588604334
LBN Legal business name Jefferson Health System Pharmacy
DBA Doing business as
Authorized official Thompson, Glen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Dec 18th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588604334 NPPES
Alabama MEDICAID 100003671
Alabama Other 0124507

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