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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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