# BREWTON MEDICAL CENTER PHARMACY PC

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

## Provider details

- **NPI number:** 1265639348
- **Authorized official:** CHARLES DANIEL COTTRELL (OWNER/PIC)
- **Authorized official phone:** (251) 802-0387

## Contact information

- **Practice address:** 1121 BELLEVILLE AVE, BREWTON, AL 36426-1500
- **Practice address phone:** (251) 867-5454
- **Mailing address:** 1121 BELLEVILLE AVE, BREWTON, AL 36426-1500
- **Mailing address phone:** (251) 867-5454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 22158 | AL | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 11/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100000228 | — | AL |