Healthcare Provider Details

I. General information

NPI: 1710900022
Provider Name (Legal Business Name): GRIFFIN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 12/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3844 SIPSEY ROAD
SIPSEY AL
35584
US

IV. Provider business mailing address

PO BOX 5047
MERIDIAN MS
39302
US

V. Phone/Fax

Practice location:
  • Phone: 205-648-9987
  • Fax: 205-648-9642
Mailing address:
  • Phone: 800-447-4095
  • Fax: 601-482-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number111244
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number111244
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number111244
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number111244
License Number StateAL
# 5
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number111244
License Number StateAL
# 6
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number111244
License Number StateAL
# 7
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number111244
License Number StateAL
# 8
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number111244
License Number StateAL
# 9
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number111244
License Number StateAL
# 10
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number111244
License Number StateAL

VIII. Authorized Official

Name: STEVE GRIFFIN
Title or Position: PRESIDENT
Credential:
Phone: 205-648-9987