MEDICARE: C & H PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	111521	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	515 28025	OTHER	AL	BCBS OF AL

General Provider Information

NPI Number	:	1770561599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C & H PHARMACY INC

Provider Business Mailing Address
First Line	:	11220 S MEMORIAL PKWY
Second Line	:	STE R
City	:	HUNTSVILLE
State	:	AL
Zip	:	35803-2184
Country	:	US
Telephone Number	:	256-882-7979
Fax Number	:	256-882-7919

Provider Business Practice Location Address
First Line	:	11220 S MEMORIAL PKWY
Second Line	:	STE R
City	:	HUNTSVILLE
State	:	AL
Zip	:	35803-2184
Country	:	US
Telephone Number	:	256-882-7979
Fax Number	:	256-882-7919

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DARDEN F HERITAGE
Credential	:	R PH
Telephone Number	:	256-534-1118

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	03/14/2022

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Directions to “C & H PHARMACY INC ” Practice Location

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