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NPI Code Detail

MEDICARE: COLLEGE CITY DRUG

MEDICARE: COLLEGE CITY DRUG
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
1332B00000XDurable Medical Equipment & Medical Supplies102640AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151050425OTHERALBC BS OF ALABAMA

General Provider Information

NPI Number : 1235255498
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLLEGE CITY DRUG
Provider Business Mailing Address
First Line : 304 WASHINGTON ST
Second Line :
City : MARION
State : AL
Zip : 36756-2332
Country : US
Telephone Number : 334-683-6166
Fax Number : 334-683-9621
Provider Business Practice Location Address
First Line : 304 WASHINGTON ST
Second Line :
City : MARION
State : AL
Zip : 36756-2332
Country : US
Telephone Number : 334-683-6166
Fax Number : 334-683-9621
Authorized Official
Title or Position : PHARMACIST
Name : BRADFORD ROGERS STURIGS
Credential :
Telephone Number : 334-683-6166
Provider Enumeration Date : 03/21/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1871587915 — COLLEGE CITY DRUGS INC
Practice Location Address:
304 WASHINGTON ST
MARION, AL
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Practice Phone: 334-683-6166
Practice Fax: 334-683-9621
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1104783463 — RELIABLE RIDES CARING SERVICE, LLC
Practice Location Address:
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1215989629 — MR. TOM S. ALSABROOK LPC
Practice Location Address:
104 EDWARDS ST
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1396856829 — PERRY CTY HOSPITAL ASSN
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Directions to “COLLEGE CITY DRUG ” Practice Location

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