Healthcare Provider Details

I. General information

NPI: 1013190487
Provider Name (Legal Business Name): EAGLE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2007
Last Update Date: 03/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 RIVERCHASE CTR SUITE 675
HOOVER AL
35244-2866
US

IV. Provider business mailing address

2200 RIVERCHASE CTR SUITE 675
HOOVER AL
35244-2866
US

V. Phone/Fax

Practice location:
  • Phone: 205-682-7999
  • Fax: 205-682-7616
Mailing address:
  • Phone: 205-682-7999
  • Fax: 205-682-7616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number113036
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HALEIGH CAWOOD
Title or Position: PIC
Credential: PHARM.D
Phone: 205-682-7999