Organization
BW RETAIL PHARMACY LLC
Active
Other names
Brookwood Medical Plus
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY BRYANT PIC (PHARMACIST IN CHARGE)
(205) 877-1000
Entity
Organization
Contact information
Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 877-2000
(205) 877-2997
Mailing address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 877-1000
(205) 877-2997
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113942
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178128
—
AL
01
—
2136292
PK
—
Enumeration date
07/25/2012
Last updated
02/22/2017
Update your record
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