Organization
WIREGRASS DRUGS INC
Active
Other names
Center Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SHARPE (VICE PRESIDENT)
(229) 435-4571
Entity
Organization
Contact information
Practice address
702 W MAPLE AVE, GENEVA, AL 36340-1632
(334) 684-9408
(334) 684-9404
Mailing address
PO BOX 527, ALBANY, GA 31702-0527
(229) 435-4571
(229) 435-4734
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
102190
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107070
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100000662
—
AL
05
—
100432800
—
FL
Enumeration date
02/28/2007
Last updated
07/15/2021
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