# CGM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407806177
- **Authorized official:** SHERRY RICHARDSON RPH (OWNER)
- **Authorized official phone:** (256) 329-7780

## Contact information

- **Practice address:** 1144 AIRPORT DR, ALEXANDER CITY, AL 35010
- **Practice address phone:** (256) 215-8014
- **Practice address fax:** (256) 215-8017
- **Mailing address:** 1144 AIRPORT DR, ALEXANDER CITY, AL 35010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 112813 | AL | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0133746 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 100003704 | — | AL |
