National Provider Identifier Database

JEFFERSON HEALTH SYSTEM PHARMACY
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

JEFFERSON HEALTH SYSTEM PHARMACY
2817 30TH AVE N
BIRMINGHAM, AL35207-4541
Phone: 205-521-6855
Fax: 205-521-6854
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for JEFFERSON HEALTH SYSTEM PHARMACY

NPI Number 1588604334
Legal business name
LBN
JEFFERSON HEALTH SYSTEM PHARMACY
Authorized official GLEN THOMPSON - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 06/08/2006
Last updated 12/18/2009 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 140009
  • AL Medicaid: 100003671
  • Other: 0124507 OTHER ID NUMBER-COMMERCIAL NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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