Healthcare Provider Details

I. General information

NPI: 1427122803
Provider Name (Legal Business Name): MCGUIRE DRUG COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 04/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 12TH AVE W
GUIN AL
35563-2257
US

IV. Provider business mailing address

PO BOX 520
GUIN AL
35563-0520
US

V. Phone/Fax

Practice location:
  • Phone: 205-468-3402
  • Fax: 205-468-3402
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number106350
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RALPH CHRISTOPHER
Title or Position: PHARMACIST OWNER
Credential:
Phone: 205-468-3402