Healthcare Provider Details

I. General information

NPI: 1194779330
Provider Name (Legal Business Name): B&G DRUG CO. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 MAIN ST NE
HANCEVILLE AL
35077-5461
US

IV. Provider business mailing address

PO BOX 288
HANCEVILLE AL
35077-0288
US

V. Phone/Fax

Practice location:
  • Phone: 256-352-4371
  • Fax: 256-352-2014
Mailing address:
  • Phone: 256-352-4371
  • Fax: 256-352-2014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number22523
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number111898
License Number StateAL

VIII. Authorized Official

Name: MR. CHRISTOPHER DAVID HENDERSON
Title or Position: PRESIDENT/PHARMACIST
Credential: PHRAMD
Phone: 256-352-4371