Healthcare Provider Details

I. General information

NPI: 1033103817
Provider Name (Legal Business Name): C & H DISCOUNT DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 01/08/2021
Certification Date: 01/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1916 GAULT AVE N
FORT PAYNE AL
35967-3418
US

IV. Provider business mailing address

1916 GAULT AVE N
FORT PAYNE AL
35967-3418
US

V. Phone/Fax

Practice location:
  • Phone: 256-845-2004
  • Fax: 256-845-7839
Mailing address:
  • Phone: 256-845-2004
  • Fax: 256-845-7839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number102020
License Number StateAL

VIII. Authorized Official

Name: MRS. MIRANDA CHAMBERS
Title or Position: PHARMACIST
Credential: PHARM.D.
Phone: 256-845-2004