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Organization

CORBETT PHARMACY INC

Active
Other names
CORBETT PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE BOLLING (OWNER)
(205) 487-4199
Entity
Organization

Contact information

Practice address
145 STATE HIGHWAY 253, STE C, WINFIELD, AL 35594-5364
(205) 487-4199
(205) 487-6009
Mailing address
145 STATE HIGHWAY 253, STE C, WINFIELD, AL 35594-5364
(205) 487-4199
(205) 932-8095

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
102759
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0135295
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
04/15/2008
Last updated
02/12/2013
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