Healthcare Provider Details

I. General information

NPI: 1013943273
Provider Name (Legal Business Name): YORK DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 COUNTRY CLUB RD
YORK AL
36925-2027
US

IV. Provider business mailing address

PO BOX 577
YORK AL
36925-0577
US

V. Phone/Fax

Practice location:
  • Phone: 205-392-5201
  • Fax: 205-392-5636
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number111338
License Number StateAL

VIII. Authorized Official

Name: L EDDIE DAVIS
Title or Position: OWNER
Credential: RPH
Phone: 205-392-5201