Organization
SUNSOUTH DIABETIC SOLUTIONS, LLC
Active
Other names
DECATUR PHARMACY & DIABETIC SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KIRK SHERRILL (OWNER)
(256) 560-0178
Entity
Organization
Contact information
Practice address
830 MCGLATHERY LN SE STE A, DECATUR, AL 35601-6029
(256) 560-0178
(256) 350-8152
Mailing address
830 MCGLATHERY LN SE STE A, DECATUR, AL 35601-6029
(256) 560-0178
(256) 350-8152
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
112436
AL
3336C0003X
Community/Retail Pharmacy
Primary
112436
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132326
NCPDP PHARMACY NUMBER
AL
01
—
51515338
BCBS ALABAMA
AL
Enumeration date
08/16/2006
Last updated
03/27/2008
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