Healthcare Provider Details

I. General information

NPI: 1700969243
Provider Name (Legal Business Name): COWART DRUG COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8320 US HIGHWAY 31 SOUTH
CALERA AL
35040-0188
US

IV. Provider business mailing address

PO BOX 188 8320 U.S. HWY 31 SOUTH
CALERA AL
35040-0188
US

V. Phone/Fax

Practice location:
  • Phone: 205-668-1723
  • Fax:
Mailing address:
  • Phone: 205-668-1723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number102840
License Number StateAL

VIII. Authorized Official

Name: MRS. THERESA NEAL HARRIS
Title or Position: PRESIDENT / PHARMACIST
Credential: RPH
Phone: 205-668-1723