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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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151052899OTHERALBLUE CROSS

General Provider Information

NPI Number : 1760451801
Entity Type Code : Organization
Provider Name (Legal Business Name) : JIM MYERS DRUG, INC.
Provider Business Mailing Address
First Line : PO BOX 40299
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35404-0299
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3325 UNIVERSITY BLVD E
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35404-4339
Country : US
Telephone Number : 205-554-2607
Fax Number : 205-556-3830
Authorized Official
Title or Position : VICE PRESIDENT
Name : KATRINKA SHELBY
Credential :
Telephone Number : 205-554-2603
Provider Enumeration Date : 03/14/2006
Last Update Date : 08/22/2020

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Directions to “JIM MYERS DRUG, INC. ” Practice Location

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