Healthcare Provider Details

I. General information

NPI: 1225168370
Provider Name (Legal Business Name): TRC PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24724 US HIGHWAY 31
JEMISON AL
35085
US

IV. Provider business mailing address

PO BOX 100
JEMISON AL
35085-0100
US

V. Phone/Fax

Practice location:
  • Phone: 205-688-2032
  • Fax: 205-688-2081
Mailing address:
  • Phone: 205-688-2032
  • Fax: 205-688-2081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN CRANE
Title or Position: OWNER
Credential:
Phone: 205-688-2032