Healthcare Provider Details

I. General information

NPI: 1609948736
Provider Name (Legal Business Name): PERSONAL TOUCH HEALTHCARE AND PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 6TH AVE SE
DECATUR AL
35601-3022
US

IV. Provider business mailing address

PO BOX 3074
DECATUR AL
35602-3074
US

V. Phone/Fax

Practice location:
  • Phone: 256-351-0404
  • Fax: 256-351-2073
Mailing address:
  • Phone: 256-351-0404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number111080
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHIP BALDWIN
Title or Position: MANAGER
Credential:
Phone: 256-350-4782