Organization
COLLEGE CITY DRUG
Active
Organization
COLLEGE CITY DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD ROGERS STURIGS (PHARMACIST)
(334) 683-6166
Entity
Organization
Contact information
Practice address
304 WASHINGTON ST, MARION, AL 36756-2332
(334) 683-6166
(334) 683-9621
Mailing address
304 WASHINGTON ST, MARION, AL 36756-2332
(334) 683-6166
(334) 683-9621
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102640
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51050425
BC BS OF ALABAMA
AL
Enumeration date
03/21/2007
Last updated
08/22/2020
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