Poarch Creek Health Clinic Pharmacy

LBN: Poarch Creek Health Clinic Pharmacy
Poarch Creek Health Clinic Pharmacy is an health care organization with primary practice located at 5811 Jack Springs Rd , Atmore AL 36502-5025. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Poarch Creek Health Clinic Pharmacy can be contacted via phone (251) 368-8630, or through Quinn, Gordon via phone (251) 368-8630.

Contact Information

Primary practice address
5811 Jack Springs Rd Atmore AL 36502-5025
Phone: (251) 368-8630
Fax: (251) 368-0832
Website:
Map and Directions
Authorized official contact:
Name: Quinn, Gordon
Phone: (251) 368-8630

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1275742546
LBN Legal business name Poarch Creek Health Clinic Pharmacy
DBA Doing business as
Authorized official Quinn, Gordon
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Mar 7th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275742546 NPPES
Other 0130574 NCPDP NUMBER

Popular Providers