# GILMER DRUG COMPANY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093866030
- **Authorized official:** TARA RATCLIFF (PHARMACIST IN CHARGE)
- **Authorized official phone:** (318) 376-4530

## Contact information

- **Practice address:** 413 19TH STREET ENSLEY, ENSLEY, BIRMINGHAM, AL 35218-1601
- **Practice address phone:** (205) 787-4671
- **Practice address fax:** (205) 788-0450
- **Mailing address:** 413 19TH STREET ENSLEY, ENSLEY, BIRMINGHAM, AL 35218-1601
- **Mailing address phone:** (205) 787-4671
- **Mailing address fax:** (205) 788-0450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 09/13/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100000189 | — | AL |