Healthcare Provider Details
I. General information
NPI: 1306888979
Provider Name (Legal Business Name): OMS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
303 HARGROVE RD E
TUSCALOOSA AL
35401-5029
US
IV. Provider business mailing address
303 HARGROVE RD E
TUSCALOOSA AL
35401-5029
US
V. Phone/Fax
- Phone: 205-752-0627
- Fax: 205-752-0624
- Phone: 205-752-0627
- Fax: 205-752-0624
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336L0003X |
| Taxonomy | Long Term Care Pharmacy |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 109676 |
| License Number State | AL |
VIII. Authorized Official
Name:
HAROLD
THOMAS
Title or Position: OWNER/PIC
Credential: PHARMD
Phone: 205-752-0627