Pure Life Pharmacy
LBN: Pure Life Pharmacy Llc
Pure Life Pharmacy is an health care organization with primary practice located at 1502 N Mckenzie St Ste 114 , Foley AL 36535-2272. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pure Life Pharmacy Llc can be contacted via phone (251) 424-1544, or through Hoover, Jeffrey via phone (251) 424-1544.
Contact Information
Primary practice address
1502 N Mckenzie St Ste 114
Foley AL 36535-2272
Phone: (251) 424-1544
Fax: (251) 424-1545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 114357 | Alabama |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1639582034 |
|---|---|
| LBN Legal business name | Pure Life Pharmacy Llc |
| DBA Doing business as | Pure Life Pharmacy |
| Authorized official | Hoover, Jeffrey PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2014 |
| Last updated | Sep 13th, 2016 - about 8 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 | 1639582034 | NPPES |
| Other | 2146082 | PK | |
| MEDICAID | 163735 | PK |
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