Healthcare Provider Details

I. General information

NPI: 1760425565
Provider Name (Legal Business Name): SPRINGHILL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 04/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 DAUPHIN ST 1E
MOBILE AL
36608-1771
US

IV. Provider business mailing address

3719 DAUPHIN ST
MOBILE AL
36608-1753
US

V. Phone/Fax

Practice location:
  • Phone: 251-410-3870
  • Fax: 251-410-3871
Mailing address:
  • Phone: 251-410-3870
  • Fax: 251-410-3871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number112812
License Number StateAL

VIII. Authorized Official

Name: REBECCA CRAWFORD
Title or Position: VP FINANCE
Credential:
Phone: 251-460-5280