Healthcare Provider Details

I. General information

NPI: 1699140897
Provider Name (Legal Business Name): THRASHER DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15190 COURT ST SUITE A
MOULTON AL
35650-1427
US

IV. Provider business mailing address

1110 E 6TH ST STE A
MUSCLE SHOALS AL
35661-3957
US

V. Phone/Fax

Practice location:
  • Phone: 256-974-1770
  • Fax: 256-974-1709
Mailing address:
  • Phone: 256-978-5102
  • Fax: 256-978-5729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number114572
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VICKY THRASHER
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 256-974-1770