Provider Demographics
NPI:1063846673
Name:PHARMACY SERVICES OF MOBILE LLC
Entity Type:Organization
Organization Name:PHARMACY SERVICES OF MOBILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:251-633-2820
Mailing Address - Street 1:747 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-5113
Mailing Address - Country:US
Mailing Address - Phone:251-633-2820
Mailing Address - Fax:
Practice Address - Street 1:4180 OAK RIDGE AVE STE B
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36619-1851
Practice Address - Country:US
Practice Address - Phone:251-338-0519
Practice Address - Fax:251-338-0520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-30
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy