Organization
CGM INC
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY RICHARDSON RPH (OWNER)
(256) 329-7780
Entity
Organization
Contact information
Practice address
1144 AIRPORT DR, ALEXANDER CITY, AL 35010
(256) 215-8014
(256) 215-8017
Mailing address
1144 AIRPORT DR, ALEXANDER CITY, AL 35010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112813
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133746
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
100003704
—
AL
Enumeration date
05/11/2006
Last updated
03/07/2023
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