Healthcare Provider Details

I. General information

NPI: 1538257597
Provider Name (Legal Business Name): BB PHARMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 12/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 VIRGINIA AVE
DALEVILLE AL
36322-2306
US

IV. Provider business mailing address

174 VIRGINIA AVE
DALEVILLE AL
36322-2306
US

V. Phone/Fax

Practice location:
  • Phone: 334-503-9799
  • Fax: 334-503-9919
Mailing address:
  • Phone: 334-503-9799
  • Fax: 334-503-9919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10807
License Number StateAL

VIII. Authorized Official

Name: ROBERT J OLIVER
Title or Position: PRESIDENT PHARMACIST
Credential: RPH.
Phone: 334-503-9799