# MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Tower Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912091703
- **Authorized official:** CHRISTINE ELIZABETH BRUTON (CFO)
- **Authorized official phone:** (334) 273-4258

## Contact information

- **Practice address:** 2055 E SOUTH BLVD, MONTGOMERY, AL 36116-2001
- **Practice address phone:** (334) 286-3200
- **Mailing address:** 2055 E SOUTH BLVD, MONTGOMERY, AL 36116-2001
- **Mailing address phone:** (334) 286-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 101317 | AL | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 04/09/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01 19710 | NCPDP | AL |
| 05 | — | 100002115 | — | AL |