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THREE NOTCH PHARMACY LLC NPI 1881963460


NPI Information

NPI: 1881963460
Provider Name: THREE NOTCH PHARMACY LLC

Doing Business As: THREE NOTCH PHARMACY, LLC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 01D2196611

Address:
4880 LAKELAND DR STE F
MOBILE, AL
ZIP 36619
Phone: (251) 661-0066
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THREE NOTCH PHARMACY LLC is a community/retail pharmacy pharmacy in Mobile, AL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. THREE NOTCH PHARMACY LLC NPI is 1881963460. The provider is registered as an organization entity type.
The provider Is Doing Business As Three Notch Pharmacy, Llc.

The provider's business location address is:

4880 LAKELAND DR STE F
MOBILE, AL
ZIP 36619-122
Phone: (251) 661-0066
Fax: (251) 661-0063

The provider's authorized official is Charles Cottrell .
The authorized official title is Owner/pharmacist and has the following contact phone number (251) 802-0387.

The CLIA number assigned to this NPI record is 01D2196611 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2011 and was last updated on 3/17/2017.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy113860ALABAMAYes

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
1135510MEDICAIDALABAMA
22133675OTHERPK

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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