Healthcare Provider Details

I. General information

NPI: 1093822884
Provider Name (Legal Business Name): HITCHCOCK RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23010 HIGHWAY 5
WEST BLOCTON AL
35184-2672
US

IV. Provider business mailing address

23010 HIGHWAY 5
WEST BLOCTON AL
35184-2672
US

V. Phone/Fax

Practice location:
  • Phone: 205-938-9588
  • Fax: 205-938-3035
Mailing address:
  • Phone: 205-938-9588
  • Fax: 205-938-3035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number111008
License Number StateAL

VIII. Authorized Official

Name: EMILY PINON
Title or Position: MANAGER
Credential:
Phone: 205-938-9588