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Organization
BREWTON MEDICAL CENTER PHARMACY PC
Active
Organization
BREWTON MEDICAL CENTER PHARMACY PC
Active
Other names
Flomaton Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES COTTRELL (PRESIDENT)
(251) 802-0387
Entity
Organization
Contact information
Practice address
174 HIGHWAY 113, FLOMATON, AL 36441-4556
(251) 867-5454
(251) 867-6117
Mailing address
174 HIGHWAY 113, FLOMATON, AL 36441-4556
(251) 867-5454
(251) 867-6117
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
114383
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163523
—
AL
01
—
2146701
PK
—
Enumeration date
07/02/2014
Last updated
10/21/2024
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