Healthcare Provider Details

I. General information

NPI: 1548500713
Provider Name (Legal Business Name): HNH IMMUNIZATIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2013
Last Update Date: 06/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 NORTH PRAIRIE STREET
UNION SPRINGS AL
36089
US

IV. Provider business mailing address

PO BOX 148
UNION SPRINGS AL
36089-0148
US

V. Phone/Fax

Practice location:
  • Phone: 205-609-0268
  • Fax: 334-738-8050
Mailing address:
  • Phone: 205-609-0268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. BEN G MAIN
Title or Position: PRESIDENT
Credential: RPH
Phone: 205-609-0268