Organization
BIG C DISCOUNT DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS ETHEREDGE REDDITT II PHARMACIST (OWNER)
(251) 653-0720
Entity
Organization
Contact information
Practice address
5808B HIGHWAY 90, THEODORE, AL 36582-1643
(251) 653-0720
(251) 653-0748
Mailing address
5808B HIGHWAY 90, THEODORE, AL 36582-1643
(251) 653-0720
(251) 653-0748
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7228
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000001973
—
AL
Enumeration date
03/20/2007
Last updated
08/22/2020
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