MEDICARE: TMK ENTERPRISES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	114675	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2166467	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992248470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMK ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	3346 MORGAN DR
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-3052
Country	:	US
Telephone Number	:	205-259-7100
Fax Number	:	205-259-7101

Provider Business Practice Location Address
First Line	:	3346 MORGAN DR
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-3052
Country	:	US
Telephone Number	:	205-259-7100
Fax Number	:	205-259-7101

Authorized Official
Title or Position	:	OWNER, PIC, AO
Name	:	KERI BATES
Credential	:
Telephone Number	:	205-259-7100

Provider Enumeration Date	:	12/01/2016
Last Update Date	:	07/25/2019

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Directions to “TMK ENTERPRISES, LLC ” Practice Location

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