Organization
JIM MYERS DRUG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINKA SHELBY (VICE PRESIDENT)
(205) 554-2603
Entity
Organization
Contact information
Practice address
3325 UNIVERSITY BLVD E, TUSCALOOSA, AL 35404-4339
(205) 554-2607
(205) 556-3830
Mailing address
PO BOX 40299, TUSCALOOSA, AL 35404-0299
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51052899
BLUE CROSS
AL
Enumeration date
03/14/2006
Last updated
08/22/2020
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