Healthcare Provider Details

I. General information

NPI: 1629988167
Provider Name (Legal Business Name): AIDS ALABAMA SOUTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 DOWNTOWNER LOOP W
MOBILE AL
36609-5503
US

IV. Provider business mailing address

717 DOWNTOWNER LOOP W
MOBILE AL
36609-5503
US

V. Phone/Fax

Practice location:
  • Phone: 720-320-3544
  • Fax:
Mailing address:
  • Phone: 720-320-3544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: CANDACE B TAYLOR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 251-471-5277