Healthcare Provider Details

I. General information

NPI: 1871674614
Provider Name (Legal Business Name): COURTLAND DISCOUNT PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

369 HAMILTON STREET
COURTLAND AL
35618
US

IV. Provider business mailing address

369 HAMILTON STREET
COURTLAND AL
35618
US

V. Phone/Fax

Practice location:
  • Phone: 256-637-8050
  • Fax: 256-637-8052
Mailing address:
  • Phone: 256-637-8050
  • Fax: 256-637-8052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateAL

VIII. Authorized Official

Name: MRS. TAMMY V GARRETT
Title or Position: OWNER SUPERVISING PHARMACIST
Credential: RPH
Phone: 256-637-8050