Professional Customized Medications
LBN: Pcm Pharmacy
Professional Customized Medications is an health care organization with primary practice located at 1621 Highway 72 , Killen AL 35645-9142. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty.
Pcm Pharmacy can be contacted via phone (256) 757-1956, or through Wood, William via phone (256) 757-1956.
Contact Information
Primary practice address
1621 Highway 72
Killen AL 35645-9142
Phone: (256) 757-1956
Fax: (256) 757-1936
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
Suppliers / Specialty Pharmacy | 3336S0011X | 111538 | Alabama |
Profile Details
NPI number | 1831104462 |
---|---|
LBN Legal business name | Pcm Pharmacy |
DBA Doing business as | Professional Customized Medications |
Authorized official | Wood, William RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 30th, 2006 |
Last updated | Jul 16th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831104462 | NPPES |
Alabama | MEDICAID | 100003101 | |
Alabama | Other | 0129191 |
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