Healthcare Provider Details

I. General information

NPI: 1033022710
Provider Name (Legal Business Name): FIVE HORIZONS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2567 FAIRLANE DR STE 100
MONTGOMERY AL
36116-1643
US

IV. Provider business mailing address

2715 7TH ST
TUSCALOOSA AL
35401-1805
US

V. Phone/Fax

Practice location:
  • Phone: 334-280-3349
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER WHITE
Title or Position: CFO
Credential:
Phone: 659-734-2302