# JB GILLESPIE DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICINE SHOPPE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386759306
- **Authorized official:** SUSAN GUINN (MEDICAID MEDICARE BILLING SPEC)
- **Authorized official phone:** (314) 993-6000

## Contact information

- **Practice address:** 2701 PATTON RD SW, HUNTSVILLE, AL 35805-4352
- **Practice address phone:** (256) 536-1910
- **Practice address fax:** (256) 536-1722
- **Mailing address:** 2701 PATTON RD SW, HUNTSVILLE, AL 35805-4352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 110709 | AL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0126777 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 100002808 | — | AL |