Organization
MEDTOWN SOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS SIMPSON PHRMD (PHRM MANG)
(205) 621-1515
Entity
Organization
Contact information
Practice address
1974 CHANDALAR DR, STE B, PELHAM, AL 35124-4340
(205) 621-1515
(205) 621-7557
Mailing address
1974 CHANDALAR DR, STE B, PELHAM, AL 35124-4340
(205) 621-1515
(205) 621-7557
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134356
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
04/03/2007
Last updated
05/28/2010
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