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Provider Information for 1194553529


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HMR OF ALABAMA INC

Other Names:  
Doing Business As: 
HMR OF ALABAMA CSMBGA PHARMACY

Organization Subpart: NO

NPI: 1194553529
Last Updated: 2024-07-25
Certification Date: 2024-07-11

Details

NameValue
NPI1194553529
Enumeration Date2024-07-25
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Mr. MICHAEL HARRISON MCBRIDE II
Title: Director of Operations
Phone: 8642243898
Mailing Address PO BOX 5285
ANDERSON, SC 29623-5285
United States

Phone: 864-224-3898 | Fax:
 
Primary Practice Address 552 VETERANS PARKWAY
ENTERPRISE, AL 36330
United States

Phone: 864-224-3898 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336L0003X - Pharmacy - Long Term Care Pharmacy