Marble City Pharmacy Inc

LBN: Marble City Pharmacy Inc
Marble City Pharmacy Inc is an health care organization with primary practice located at 264 W Fort Williams St , Sylacauga AL 35150-2432. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Marble City Pharmacy Inc can be contacted via phone (256) 245-4446, or through Johnson, Jacob Miles via phone (256) 245-4446.

Contact Information

Primary practice address
264 W Fort Williams St Sylacauga AL 35150-2432
Phone: (256) 245-4446
Fax: (256) 245-4484
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jacob Miles PHARMD
Phone: (256) 245-4446

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 112273 Alabama
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 112273 Alabama

Profile Details

NPI number 1417954488
LBN Legal business name Marble City Pharmacy Inc
DBA Doing business as
Authorized official Johnson, Jacob Miles PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2005
Last updated Dec 29th, 2010 - about 16 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 1417954488 NPPES
Alabama Other 0131730 NABP
Alabama MEDICAID 100003479 NABP
Alabama MEDICAID 009932695 NABP

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