Provider Demographics
NPI:1255484341
Name:PARTNERS IN CARE
Entity Type:Organization
Organization Name:PARTNERS IN CARE
Other - Org Name:MEDSOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:205-982-5058
Mailing Address - Street 1:206 OAK MOUNTAIN CIR # A
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1357
Mailing Address - Country:US
Mailing Address - Phone:205-982-5058
Mailing Address - Fax:205-982-5059
Practice Address - Street 1:206 OAK MOUNTAIN CIR # A
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1357
Practice Address - Country:US
Practice Address - Phone:205-982-5058
Practice Address - Fax:205-982-5059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL147085183500000X
AL111939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0130790Medicare UPIN