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NPI Code Detail

MEDICARE: JIM MYERS DRUG, INC.

MEDICARE: JIM MYERS DRUG, INC.
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
1333600000XPharmacy105655AL

General Provider Information

NPI Number : 1225022346
Entity Type Code : Organization
Provider Name (Legal Business Name) : JIM MYERS DRUG, INC.
Provider Business Mailing Address
First Line : 3325 UNIVERSITY BLVD E
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35404-4339
Country : US
Telephone Number : 205-556-3800
Fax Number : 205-556-0142
Provider Business Practice Location Address
First Line : 3325 UNIVERSITY BLVD E
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35404-4339
Country : US
Telephone Number : 205-556-3800
Fax Number : 205-556-0142
Authorized Official
Title or Position : PRESIDENT
Name : MR. ROGER P MYERS
Credential :
Telephone Number : 205-556-3800
Provider Enumeration Date : 09/02/2005
Last Update Date : 08/22/2020

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