1043377633 NPI number — PHILLIPS DRUG COMPANY LLC

Table of content: (NPI 1043377633)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043377633 NPI number — PHILLIPS DRUG COMPANY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PHILLIPS DRUG COMPANY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CLAYTON DRUG COMPANY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043377633
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 220
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLAYTON
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36016-0220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-775-3442
Provider Business Mailing Address Fax Number:
334-775-7711

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 COURT SQUARE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLAYTON
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36016-0220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-775-3442
Provider Business Practice Location Address Fax Number:
334-775-7711
Provider Enumeration Date:
01/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PHILLIPS
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
334-354-7812

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  110738 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100002824 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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