Organization
COTTONWOOD DRUGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RYAN FOLSOM (OWNER/PHARMACIST)
(334) 691-3784
Entity
Organization
Contact information
Practice address
12890 COTTONWOOD RD, COTTONWOOD, AL 36320-4293
(334) 691-3784
Mailing address
PO BOX 130, COTTONWOOD, AL 36320-0130
(334) 691-3784
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114137
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150123
—
AL
Enumeration date
06/19/2013
Last updated
03/31/2022
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