Brewton Medical Center Pharmacy PC
Pharmacy, Community/Retail Pharmacy in Brewton, AL. Organization (NPI-2).
NPI number1265639348
StatusActive
Last updated in NPPESNov 19, 2025
Details
- NPI
- 1265639348
- Entity type
- Organization (NPI-2)
- Legal business name
- Brewton Medical Center Pharmacy PC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2007
- Certification date
- Nov 19, 2025
- Last updated
- Nov 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 22158 | AL | Yes |
Practice location
1121 Belleville AveBrewton, AL 36426-1500
Phone 251-867-5454
Mailing address
1121 Belleville AveBrewton, AL 36426-1500
Phone 251-867-5454
Authorized official
Charles Daniel Cottrell
Owner/Pic
2518020387
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