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City Drug Store, Inc.
Pharmacy in Evergreen, Alabama
NPI 1174674030

City Drug Store, Inc. is a Pharmacy based in Evergreen, AL. City Drug Store, Inc. practices in Evergreen, AL. The NPI Number for City Drug Store, Inc. is 1174674030 and holds a License No. 102440 (Alabama).

The current practice location address for City Drug Store, Inc. is 110 Lewis St, Evergreen, AL and can be reached out via phone at 251-578-1050.

Location: 110 Lewis St, Evergreen, AL, 36401-3317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174674030
Provider Name
City Drug Store, Inc.
Credential
Provider Entity Type
Organization
Address
110 Lewis St, Evergreen, AL, 36401-3317
Phone Number
251-578-1050
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0106345 01 AL NABP
0106345 01 AL NCPDP
institution
Provider Business Practice Location Address Details
Address
110 Lewis St
City
Evergreen
State
Alabama
Zip
36401-3317
Phone Number
251-578-1050
Fax Number
person
Provider Business Mailing Address Details
Address
110 Lewis St
City
Evergreen
State
Alabama
Zip
36401-3317
Phone Number
251-578-1050
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
102440 (Alabama)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
102440 (Alabama)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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