# CORBETT PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORBETT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053585687
- **Authorized official:** GEORGE BOLLING (OWNER)
- **Authorized official phone:** (205) 487-4199

## Contact information

- **Practice address:** 145 STATE HIGHWAY 253, STE C, WINFIELD, AL 35594-5364
- **Practice address phone:** (205) 487-4199
- **Practice address fax:** (205) 487-6009
- **Mailing address:** 145 STATE HIGHWAY 253, STE C, WINFIELD, AL 35594-5364
- **Mailing address phone:** (205) 487-4199
- **Mailing address fax:** (205) 932-8095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 102759 | AL | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 02/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0135295 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
