Cmc Pharmacy | |
1308 Tuscaloosa Ave Sw Birmingham AL 35211-1948 | |
(205) 679-6325 | |
Not Available |
Full Name | Cmc Pharmacy |
---|---|
Speciality | Clinic/Center |
Location | 1308 Tuscaloosa Ave Sw, Birmingham, Alabama |
Authorized Official Name and Position | John B Waits (CEO) |
Authorized Official Contact | 2059262992 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cmc Pharmacy 405 Belcher St Centreville AL 35042-2946 Ph: (205) 926-2992 | Cmc Pharmacy 1308 Tuscaloosa Ave Sw Birmingham AL 35211-1948 Ph: (205) 679-6325 |
NPI Number | 1881153401 |
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Provider Enumeration Date | 03/13/2019 |
Last Update Date | 09/06/2019 |
Medicare PECOS PAC ID | 1355597923 |
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Medicare Enrollment ID | O20190820000710 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881153401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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