Organization
GILMER DRUG COMPANY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA RATCLIFF (PHARMACIST IN CHARGE)
(318) 376-4530
Entity
Organization
Contact information
Practice address
413 19TH STREET ENSLEY, ENSLEY, BIRMINGHAM, AL 35218-1601
(205) 787-4671
(205) 788-0450
Mailing address
413 19TH STREET ENSLEY, ENSLEY, BIRMINGHAM, AL 35218-1601
(205) 787-4671
(205) 788-0450
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000189
—
AL
Enumeration date
01/16/2007
Last updated
09/13/2019
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