# COURTLAND DISCOUNT PHARMACY

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

## Provider details

- **NPI number:** 1871674614
- **Authorized official:** MRS. TAMMY V GARRETT RPH (OWNER SUPERVISING PHARMACIST)
- **Authorized official phone:** (256) 637-8050

## Contact information

- **Practice address:** 369 HAMILTON STREET, COURTLAND, AL 35618
- **Practice address phone:** (256) 637-8050
- **Practice address fax:** (256) 637-8052
- **Mailing address:** 369 HAMILTON STREET, COURTLAND, AL 35618
- **Mailing address phone:** (256) 637-8050
- **Mailing address fax:** (256) 637-8052

## Taxonomy

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

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009985880 | — | AL |
| 01 | — | 0127755 | NCPDP | AL |
| 05 | — | 100002934 | — | AL |
| 01 | — | 111155 | STATE PERMIT | AL |
| 01 | — | 400004465 | SALES TAX \# | AL |
| 01 | — | 51099925 | BCBS DME | AL |
| 01 | — | WEB1CDPH | BCBS BILLING ID | AL |