Organization
BUBBAS MEDICINE SHOP INC
Active
Parent organization
BUBBAS MEDICINE SHOP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUBBAS MEDICINE SHOP INC
Authorized official
WILLIAM MAURY YOUNG (PRESIDENT)
(334) 749-3426
Entity
Organization
Contact information
Practice address
512 2ND AVE, OPELIKA, AL 36801-4316
(334) 749-3426
(334) 742-0757
Mailing address
512 2ND AVE, OPELIKA, AL 36801-4316
(334) 749-3426
(334) 742-0757
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51525636
BCBS
AL
Enumeration date
07/23/2007
Last updated
10/22/2008
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