Healthcare Provider Details

I. General information

NPI: 1194830117
Provider Name (Legal Business Name): F & K INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 03/07/2023
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 5TH AVE S
IRONDALE AL
35210-1632
US

IV. Provider business mailing address

2207 5TH AVE S
IRONDALE AL
35210-1632
US

V. Phone/Fax

Practice location:
  • Phone: 251-408-2051
  • Fax: 251-575-5415
Mailing address:
  • Phone: 251-408-2051
  • 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 Number110730
License Number StateAL

VIII. Authorized Official

Name: DENA FERMAN
Title or Position: THIRD PARTY PLAN COORDINATOR
Credential:
Phone: 314-993-6000