Provider Demographics
NPI:1316239445
Name:APOTHECARY AT CAHABA INC
Entity type:Organization
Organization Name:APOTHECARY AT CAHABA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:JIMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-356-4263
Mailing Address - Street 1:3317 ALTALOMA DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4283
Mailing Address - Country:US
Mailing Address - Phone:205-977-9299
Mailing Address - Fax:205-977-9288
Practice Address - Street 1:3135 CAHABA HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35243-5244
Practice Address - Country:US
Practice Address - Phone:205-977-9299
Practice Address - Fax:205-977-9288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-09
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1136923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0137112OtherNCPDP PROVIDER IDENTIFICATION NUMBER