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General NPI Number Information
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NPI Number | 1922281690
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Entity Type | Organization
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Legal Business Name | THE MEDICINE CHEST WELLNESS CENTER INC, DBA INTEGRACARE PHARMACY
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 514 FIRST STREET NORTH SUITE 200
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City | ALABASTER
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State | AL
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Zip | 35007
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Country | US
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Telephone | 205-621-2310
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Fax | 205-621-2318
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Provider Business Mailing Address
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Address Line | 514 FIRST STREET NORTH SUITE 200
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City | ALABASTER
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State | AL
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Zip | 35007
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Country | US
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Telephone | 205-621-2310
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Fax | 205-621-2318
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Authorized Official
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Title or Position | RPH/ OWNER
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Name | MR. LARRY W OWENS
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Credential | RPH
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Telephone | 205-621-2310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 113037
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License Number State | AL
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