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Organization
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Active
Organization
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Active
Other names
Baptist Tower Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ELIZABETH BRUTON (CFO)
(334) 273-4258
Entity
Organization
Contact information
Practice address
2055 E SOUTH BLVD, MONTGOMERY, AL 36116-2001
(334) 286-3200
Mailing address
2055 E SOUTH BLVD, MONTGOMERY, AL 36116-2001
(334) 286-3200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
101317
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01 19710
NCPDP
AL
05
—
100002115
—
AL
Enumeration date
10/03/2006
Last updated
04/09/2020
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