Healthcare Provider Details

I. General information

NPI: 1962410449
Provider Name (Legal Business Name): YORK DRUG, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/15/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 A MONROE STREET
LIVINGSTON AL
35470
US

IV. Provider business mailing address

PO BOX 577
YORK AL
36925-0577
US

V. Phone/Fax

Practice location:
  • Phone: 205-392-5911
  • Fax: 205-392-5887
Mailing address:
  • Phone: 205-392-5911
  • Fax: 205-392-5887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number2052
License Number StateAL

VIII. Authorized Official

Name: MR. ROBERT C BEARD
Title or Position: OWNER
Credential:
Phone: 205-392-5911