Provider Demographics
NPI:1790593853
Name:HARBIN PHARMACY INC
Entity type:Organization
Organization Name:HARBIN PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-871-2196
Mailing Address - Street 1:57A CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35213-3701
Mailing Address - Country:US
Mailing Address - Phone:205-871-2293
Mailing Address - Fax:
Practice Address - Street 1:57A CHURCH ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-3701
Practice Address - Country:US
Practice Address - Phone:205-871-2293
Practice Address - Fax:205-871-6845
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARBIN PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy