Healthcare Provider Details

I. General information

NPI: 1447617642
Provider Name (Legal Business Name): R & R WHOLESALE DISTRIBUTORS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 03/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 OXMOOR CIR STE 109
BIRMINGHAM AL
35209-6436
US

IV. Provider business mailing address

237 OXMOOR CIR STE 109
BIRMINGHAM AL
35209-6436
US

V. Phone/Fax

Practice location:
  • Phone: 205-732-3533
  • Fax: 866-886-5188
Mailing address:
  • Phone: 205-732-3533
  • Fax: 866-886-5188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number114585
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RUSSELL SCOTT
Title or Position: OWNER/PHARMACIST
Credential:
Phone: 205-732-3533