Fidelis Servus Corporation
Pharmacy, Community/Retail Pharmacy in Helena, AL. Organization (NPI-2).
NPI number1003452467
StatusActive
Last updated in NPPESJan 28, 2021
Details
- NPI
- 1003452467
- Entity type
- Organization (NPI-2)
- Legal business name
- Fidelis Servus Corporation
- Organization subpart
- No
- Enumeration date
- Nov 20, 2019
- Certification date
- Jan 28, 2021
- Last updated
- Jan 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – |
Practice location
455 Helena Market PlHelena, AL 35080-3563
Phone 205-729-5060 · Fax 205-729-5061
Mailing address
16688 Highway 280Chelsea, AL 35043-8367
Phone 205-678-7755 · Fax 205-678-0900
Authorized official
William Honea
President
2056787755
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