Healthcare Provider Details

I. General information

NPI: 1063978872
Provider Name (Legal Business Name): CHRIS CAWOOD PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2019
Last Update Date: 02/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 CORPORATE WOODS DR
ALABASTER AL
35007-4844
US

IV. Provider business mailing address

2808 ASTER LAKE RD
HELENA AL
35022-7259
US

V. Phone/Fax

Practice location:
  • Phone: 334-444-8189
  • Fax:
Mailing address:
  • Phone: 334-444-8189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15282
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: