Organization
BROWN DRUG CO INC
Active
Other names
MED CENTER PHARMACY VITAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ELBERT GIBBS (PRESIDENT)
(334) 874-9495
Entity
Organization
Contact information
Practice address
101 SAMUEL O MOSELEY DR, SELMA, AL 36701-6730
(334) 874-9495
(334) 874-9929
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
111878
AL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
111878
AL
332BC3200X
Customized Equipment (DME)
111878
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
111878
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
111878
AL
333600000X
Pharmacy
111878
AL
3336C0003X
Community/Retail Pharmacy
111878
AL
3336H0001X
Home Infusion Therapy Pharmacy
111878
AL
3336L0003X
Long Term Care Pharmacy
111878
AL
3336M0002X
Mail Order Pharmacy
111878
AL
3336S0011X
Specialty Pharmacy
111878
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009964955
—
AL
05
—
100003218
—
AL
01
—
510-49875
BCBS OF AL
AL
Enumeration date
09/05/2006
Last updated
03/06/2025
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