Organization
MEDTOWN, LLC
Active
Other names
MedTown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SIMPSON (OWNER)
(205) 420-1691
Entity
Organization
Contact information
Practice address
24333 AL HIGHWAY 24, SUITE A, TRINITY, AL 35673-5380
(256) 353-8997
(256) 353-8661
Mailing address
24333 AL HIGHWAY 24, SUITE A, TRINITY, AL 35673-5380
(256) 353-8997
(256) 353-8661
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114042
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138520
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/01/2013
Last updated
03/26/2015
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