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SOUTHERN HEMOPHILIA INFUSION NPI 1720301054


NPI Information

NPI: 1720301054
Provider Name: SOUTHERN HEMOPHILIA INFUSION

Doing Business As: SOUTHERN HEMOPHILIA INFUSION PHARMACY, LLC

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
154 HAND AVE
BAY MINETTE, AL
ZIP 36507
Phone: (251) 937-8792
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SOUTHERN HEMOPHILIA INFUSION is a specialty pharmacy pharmacy in Bay Minette, AL. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. SOUTHERN HEMOPHILIA INFUSION NPI is 1720301054. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Hemophilia Infusion Pharmacy, Llc.

The provider's business location address is:

154 HAND AVE
BAY MINETTE, AL
ZIP 36507-825
Phone: (251) 937-8792
Fax: (251) 937-8793

The provider's authorized official is Jonathan Kelley .
The authorized official title is President and has the following contact phone number (251) 937-8792.

The enumeration date for this NPI number is 3/1/2010 and was last updated on 1/19/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336H0001XPharmacyHome Infusion Therapy PharmacyNo
23336S0011XPharmacySpecialty Pharmacy113370ALABAMAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10136413OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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