# C & R PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** C & R Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245529494
- **Authorized official:** XIULU RUAN (CO-OWNER)
- **Authorized official phone:** (251) 478-4900

## Contact information

- **Practice address:** 4682 AIRPORT BLVD STE A, MOBILE, AL 36608-3124
- **Practice address phone:** (251) 341-1113
- **Practice address fax:** (241) 341-1116
- **Mailing address:** 4682 AIRPORT BLVD STE A, MOBILE, AL 36608-3124
- **Mailing address phone:** (251) 341-1113
- **Mailing address fax:** (251) 341-1116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 113578 | AL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/28/2011
- **Last updated:** 11/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0137047 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |