Mobile Infirmary Association
Pharmacy, Specialty Pharmacy in Daphne, AL. Organization (NPI-2).
NPI number1710698717
StatusActive
Last updated in NPPESMar 18, 2024
Details
- NPI
- 1710698717
- Entity type
- Organization (NPI-2)
- Legal business name
- Mobile Infirmary Association
- Organization subpart
- No
- Enumeration date
- Dec 9, 2022
- Certification date
- Mar 18, 2024
- Last updated
- Mar 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 3336M0002X | Pharmacy, Mail Order Pharmacy | – | – |
Other names
- Gulf Health Management Services, INC. (Former Legal Business Name)
- Mimc Specialty And Home Infusion Pharmacy (Doing Business As)
Practice location
7101 Us Highway 90Building B, Suite B100
Daphne, AL 36526-9512
Phone 251-625-8445
Mailing address
Po Box 1468Daphne, AL 36526-1468
Authorized official
Douglas Mark Nix
President/Ceo
2516258454
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