| Organization Name: | TARA PHARMACY SE, LLC |
| NPI Number: | 1063549368 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORBERT A BENNETT (CEO) |
| Mailing Address: | 211 Summit Pkwy Suite 112 Homewood |
| State: | AL US |
| Postal Code: | 352094751 |
| Phone Number: | 2059162267 |
| Fax Number: | 2059160877 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835G0303X |
| License Number: | 112737 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Geriatric |
| Taxonomy Definition: | A pharmacist who is certified in geriatric pharmacy practice is designated as a |