Physician Rx Source
Pharmacy, Community/Retail Pharmacy in Athens, AL. Organization (NPI-2).
NPI number1003125832
StatusActive
Last updated in NPPESApr 25, 2013
Details
- NPI
- 1003125832
- Entity type
- Organization (NPI-2)
- Legal business name
- Physician Rx Source
- Organization subpart
- No
- Enumeration date
- Sep 28, 2010
- Last updated
- Apr 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 113428 | AL | Yes |
Other names
- Physician Rx Source (Doing Business As)
Practice location
118 W Market StAthens, AL 35611-2556
Phone 256-216-1514 · Fax 256-216-1831
Mailing address
118 W Market StAthens, AL 35611-2556
Phone 256-216-1514 · Fax 256-216-1831
Authorized official
Emily Williamson
Owner Rph
2562161514
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All 15 Community/Retail Pharmacy providers in Athens · All 800 providers in Athens
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