Organization
BREWTON MEDICAL CENTER PHARMACY PC
Active
Other names
Flomaton Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES COTTRELL (PRESIDENT)
(251) 802-0387
Entity
Organization
Contact information
Practice address
174 HIGHWAY 113, FLOMATON, AL 36441-4556
(251) 867-5454
(251) 867-6117
Mailing address
174 HIGHWAY 113, FLOMATON, AL 36441-4556
(251) 867-5454
(251) 867-6117
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114383
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163523
—
AL
01
—
2146701
PK
—
Enumeration date
07/02/2014
Last updated
10/21/2024
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