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
Fax: (256) 757-1936
Website:
Authorized official contact:
Name: Wood, William RPH

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831104462 NPPES
Alabama MEDICAID 100003101
Alabama Other 0129191

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