Provider Information for 1194553529
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HMR OF ALABAMA INC
Other Names:Doing Business As:HMR OF ALABAMA CSMBGA PHARMACYOrganization Subpart: NO
NPI: 1194553529
Last Updated: 2024-07-25
Certification Date: 2024-07-11
Certification Date: 2024-07-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194553529 | ||||||||
| Enumeration Date | 2024-07-25 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| 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: | ||||||||
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