Organization
ASHFORD MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MARVIN COOK SR. RPH (OWNER)
(334) 899-8662
Entity
Organization
Contact information
Practice address
1860 OLD HWY 84, SUITE 1, ASHFORD, AL 36312-4318
(334) 899-8662
(334) 899-7029
Mailing address
PO BOX 367, ASHFORD, AL 36312-0367
(334) 899-8662
(334) 899-7029
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0072768
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009980090
—
AL
Enumeration date
07/20/2005
Last updated
03/10/2011
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