Healthcare Provider Details

I. General information

NPI: 1447244215
Provider Name (Legal Business Name): C & H DISCOUNT DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1702 GLENN BLVD SW
FORT PAYNE AL
35968-3523
US

IV. Provider business mailing address

1702 GLENN BLVD SW
FORT PAYNE AL
35968-3523
US

V. Phone/Fax

Practice location:
  • Phone: 256-845-0242
  • Fax: 256-845-7050
Mailing address:
  • Phone: 256-845-0242
  • Fax: 256-845-7050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number102025
License Number StateAL

VIII. Authorized Official

Name: MRS. MIRANDA CHAMBERS
Title or Position: STAFF PHARMACIST
Credential: PHARM.D.
Phone: 256-845-0242