Provider Demographics
NPI:1790798403
Name:NAPHCARE PHARMACY LLC
Entity Type:Organization
Organization Name:NAPHCARE PHARMACY LLC
Other - Org Name:NAPHCARE 340B PHARMACY
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-552-1702
Mailing Address - Street 1:2086 COLUMBIANA RD STE 1200
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2118
Mailing Address - Country:US
Mailing Address - Phone:205-552-1700
Mailing Address - Fax:205-521-7085
Practice Address - Street 1:2086 COLUMBIANA RD STE 1200
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-2118
Practice Address - Country:US
Practice Address - Phone:205-552-1702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL110781OtherALABAMA STATE BOARD OF PHARMACY