Healthcare Provider Details

I. General information

NPI: 1801899463
Provider Name (Legal Business Name): PILCHER MCBRYDE DRUG COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 BROAD ST
SELMA AL
36701-4606
US

IV. Provider business mailing address

PO BOX 1168
SELMA AL
36702-1168
US

V. Phone/Fax

Practice location:
  • Phone: 334-875-7208
  • Fax: 334-875-2855
Mailing address:
  • Phone: 334-875-7208
  • Fax: 334-875-2855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number107790
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number107790
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number107790
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number107790
License Number StateAL

VIII. Authorized Official

Name: DR. JAMES W. CREECH, JR.
Title or Position: PRESIDENT/ CO-OWNER
Credential: PHARM. D.
Phone: 334-875-7208