MEDICARE: C & M PHARMACY EXPRESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	112529	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01-32302	OTHER	AL	NCPDP

General Provider Information

NPI Number	:	1205820875
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C & M PHARMACY EXPRESS

Provider Business Mailing Address
First Line	:	10134 N MEMORIAL PKWY
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35810-1221
Country	:	US
Telephone Number	:	256-858-0008
Fax Number	:	256-858-0173

Provider Business Practice Location Address
First Line	:	10134 N MEMORIAL PKWY
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35810-1221
Country	:	US
Telephone Number	:	256-858-0008
Fax Number	:	256-858-0173

Authorized Official
Title or Position	:	PHARMACIST
Name	:	MRS. JUDY NELIA LEDBETTER
Credential	:
Telephone Number	:	256-858-0008

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	08/22/2020

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Directions to “C & M PHARMACY EXPRESS ” Practice Location

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