Healthcare Provider Details

I. General information

NPI: 1588700132
Provider Name (Legal Business Name): HARBIN PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 12/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 RICHARD ARRINGTON JR BLVD S
BIRMINGHAM AL
35233-2129
US

IV. Provider business mailing address

521 RICHARD ARRINGTON JR BLVD S
BIRMINGHAM AL
35233-2129
US

V. Phone/Fax

Practice location:
  • Phone: 205-323-2474
  • Fax: 205-323-2488
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number105050
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STEVE TRIMBLE
Title or Position: CO OWNER
Credential:
Phone: 205-323-2474