Provider Demographics
NPI:1669095527
Name:MILLS SPECIALTY PHARMACY LLC
Entity type:Organization
Organization Name:MILLS SPECIALTY PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:205-871-9007
Mailing Address - Street 1:PO BOX 26679
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35260-0679
Mailing Address - Country:US
Mailing Address - Phone:205-871-9007
Mailing Address - Fax:205-874-9946
Practice Address - Street 1:2400 MOUNTAIN DR STE 104
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-1569
Practice Address - Country:US
Practice Address - Phone:205-871-9007
Practice Address - Fax:205-874-9946
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MILLS SPECIALTY PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-26
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy