Organization · NPI-2

Medtown South

Pharmacy, Community/Retail Pharmacy · Pelham, AL

NPI number1194846642
StatusActive
Last updated in NPPESMay 28, 2010

Details

NPI
1194846642
Entity type
Organization (NPI-2)
Legal business name
Medtown South
Organization subpart
No
Enumeration date
Apr 3, 2007
Last updated
May 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Practice location

1974 Chandalar Dr
Ste B
Pelham, AL 35124-4340

Phone 205-621-1515 · Fax 205-621-7557

Mailing address

1974 Chandalar Dr
Ste B
Pelham, AL 35124-4340

Phone 205-621-1515 · Fax 205-621-7557

Authorized official

Chris Simpson
Phrm Mang
2056211515

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