Healthcare Provider Details

I. General information

NPI: 1255484341
Provider Name (Legal Business Name): PARTNERS IN CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 OAK MOUNTAIN CIR # A
PELHAM AL
35124-1357
US

IV. Provider business mailing address

206 OAK MOUNTAIN CIR # A
PELHAM AL
35124-1357
US

V. Phone/Fax

Practice location:
  • Phone: 205-982-5058
  • Fax: 205-982-5059
Mailing address:
  • Phone: 205-982-5058
  • Fax: 205-982-5059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number147085
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number111939
License Number StateAL

VIII. Authorized Official

Name: MRS. JAMIE SELMAN
Title or Position: SUPERVISING PHARMACIST
Credential: R. PH.
Phone: 205-982-5058