Medical Center Pharmacy

LBN: Medical Center Pharmacy
Medical Center Pharmacy is an health care organization with primary practice located at 609 Gandy St Ne , Russellville AL 35653. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Medical Center Pharmacy can be contacted via phone (256) 331-9060, or through Lane, Jimmy Greg via phone (256) 332-4021.

Contact Information

Primary practice address
609 Gandy St Ne Russellville AL 35653
Phone: (256) 331-9060
Fax: (256) 332-4210
Website:
Map and Directions
Authorized official contact:
Name: Lane, Jimmy Greg RPH
Phone: (256) 332-4021

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 106725 Alabama

Profile Details

NPI number 1447219936
LBN Legal business name Medical Center Pharmacy
DBA Doing business as
Authorized official Lane, Jimmy Greg RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 3rd, 2008 - about 18 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 1447219936 NPPES
Other 0123935 NCPDP
MEDICAID 100002480 NCPDP

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