# COLLEGE CITY DRUGS INC

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

## Provider details

- **NPI number:** 1871587915
- **Authorized official:** BRADFORD ROGERS STURGIS RPH (PRESIDENT-CHIEF PHARMACIST)
- **Authorized official phone:** (334) 683-6166

## Contact information

- **Practice address:** 304 WASHINGTON ST, MARION, AL 36756-2332
- **Practice address phone:** (334) 683-6166
- **Practice address fax:** (334) 683-9621
- **Mailing address:** PO BOX 220, MARION, AL 36756-0220
- **Mailing address phone:** (334) 683-6166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 102640 | AL | — |
| 3336C0003X | Community/Retail Pharmacy | 102640 | AL | Yes |
| 3336L0003X | Long Term Care Pharmacy | 102640 | AL | — |

## Other

- **Enumeration date:** 09/05/2005
- **Last updated:** 09/27/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100000012 | — | AL |