Healthcare Provider Details

I. General information

NPI: 1497841654
Provider Name (Legal Business Name): BROWN DRUG CO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date: 10/06/2006
Reactivation Date: 03/21/2008

III. Provider practice location address

101 SAMUEL O MOSELEY DR
SELMA AL
36701-6730
US

IV. Provider business mailing address

101 SAMUEL O MOSELEY DR
SELMA AL
36701-6730
US

V. Phone/Fax

Practice location:
  • Phone: 334-874-9495
  • Fax: 334-874-9929
Mailing address:
  • Phone: 334-874-9495
  • Fax: 334-874-9929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number111878
License Number StateAL

VIII. Authorized Official

Name: TIMOTHY L GIBBS
Title or Position: PRESIDENT
Credential:
Phone: 334-872-3255