Organization
BROWN DRUG CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L GIBBS RPH (PRESIDENT / OWNER)
(334) 872-3255
Entity
Organization
Contact information
Practice address
1402 W DALLAS AVE, SELMA, AL 36701-7017
(334) 872-3255
(334) 874-9453
Mailing address
1402 W DALLAS AVE, SELMA, AL 36701-7017
(334) 872-3255
(334) 874-9453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1157910001
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002422
—
AL
01
—
1157910001
PTAN
AL
01
—
1841206570
PHARMACY NPI #
AL
Enumeration date
02/27/2007
Last updated
08/01/2024
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