Organization
PEOPLES DRUGS & VARIETY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY CHESTEEN WIX RPH (OWNER-PRESIDENT)
(256) 359-6242
Entity
Organization
Contact information
Practice address
8260 HIGHWAY 72, CHEROKEE, AL 35616-4402
(256) 359-6242
(256) 359-4652
Mailing address
8260 HIGHWAY 72, PO BOX J, CHEROKEE, AL 35616-4402
(256) 359-6242
(256) 359-4652
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
107670
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009999850
—
AL
01
—
51098591
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
08/08/2006
Last updated
06/25/2010
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