Organization
CARROLLTON PRESCRIPTION SHOP INC
Active
Other names
The Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF SOUTH (MANAGER)
(205) 494-7150
Entity
Organization
Contact information
Practice address
41254 HIGHWAY 195 STE G, HALEYVILLE, AL 35565-8115
(205) 494-7150
(205) 485-1130
Mailing address
41254 HIGHWAY 195, SUITE G, HALEYVILLE, AL 35565-8114
(205) 494-7150
(205) 485-1133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
109667
AL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001842
—
AL
01
—
2152742
PK
—
Enumeration date
07/30/2006
Last updated
12/10/2015
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