Provider Demographics
NPI:1265668289
Name:PROFESSIONAL PHARMACY, INC
Entity Type:Organization
Organization Name:PROFESSIONAL PHARMACY, INC
Other - Org Name:FAMILY PHARMACY OF SPRINGHILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSBY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:251-300-3003
Mailing Address - Street 1:4415 OLD SHELL RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1911
Mailing Address - Country:US
Mailing Address - Phone:251-300-3003
Mailing Address - Fax:251-300-3004
Practice Address - Street 1:4415 OLD SHELL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1911
Practice Address - Country:US
Practice Address - Phone:251-300-3003
Practice Address - Fax:251-300-3004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy