Organization
MC SERVICES INC
Active
Other names
MARTIN COLLEY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL RUSSELL RPH (OWNER)
(334) 347-6865
Entity
Organization
Contact information
Practice address
204 E BRUNSON ST, ENTERPRISE, AL 36330-1922
(334) 347-6865
(334) 393-0679
Mailing address
PO BOX 311688, ENTERPRISE, AL 36331-1688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
106520
AL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106256
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100000272
—
AL
Enumeration date
07/30/2006
Last updated
12/07/2011
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