TARA PHARMACY SE LLC NPI 1063549368

NPI Information

TARA PHARMACY SE, LLC is a geriatric pharmacist in Homewood, AL. The provider is a pharmacist who is certified in geriatric pharmacy practice is designated as a Certified Geriatric Pharmacist (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. TARA PHARMACY SE, LLC NPI is 1063549368. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

211 SUMMIT PKWY
SUITE 112
HOMEWOOD, AL
ZIP 35209-751
Phone: (205) 916-2267
Fax: (205) 916-0877

The provider's authorized official is Norbert A Bennett .
The authorized official title is Ceo and has the following contact phone number (716) 662-4955.

The CLIA number assigned to this NPI record is 01D2207867 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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