Organization
BREWTON MEDICAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D COTTRELL PHD (OWNER)
(251) 867-5454
Entity
Organization
Contact information
Practice address
1121 BELLEVILLE AVE, BREWTON, AL 36426-1500
(251) 867-5454
Mailing address
810 E CRAIG ST, ATMORE, AL 36502-3071
(251) 368-2424
(251) 368-0359
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AL
Other
Enumeration date
11/20/2006
Last updated
09/25/2008
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