Individual
MR. CHARLES DANIEL COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1121 BELLEVILLE AVE, BREWTON, AL 36426-1500
(251) 867-5454
(251) 867-6117
Mailing address
2110 WILDWOOD DR, BREWTON, AL 36426-2938
(251) 867-5454
(251) 867-6117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9836
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101775
NABP PHARMACY #
AL
05
—
10000228
—
AL
Enumeration date
09/21/2006
Last updated
07/09/2007
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