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Organization
BW RETAIL PHARMACY LLC
Active
Organization
BW RETAIL PHARMACY LLC
Active
Other names
Brookwood Medical Plus
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY BRYANT PIC (PHARMACIST IN CHARGE)
(205) 877-1000
Entity
Organization
Contact information
Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 877-2000
(205) 877-2997
Mailing address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 877-1000
(205) 877-2997
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113942
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178128
—
AL
01
—
2136292
PK
—
Enumeration date
07/25/2012
Last updated
02/22/2017
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