Organization
COLLEGE CITY DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD ROGERS STURGIS RPH (PRESIDENT-CHIEF PHARMACIST)
(334) 683-6166
Entity
Organization
Contact information
Practice address
304 WASHINGTON ST, MARION, AL 36756-2332
(334) 683-6166
(334) 683-9621
Mailing address
PO BOX 220, MARION, AL 36756-0220
(334) 683-6166
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
102640
AL
3336C0003X
Community/Retail Pharmacy
Primary
102640
AL
3336L0003X
Long Term Care Pharmacy
102640
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000012
—
AL
Enumeration date
09/05/2005
Last updated
09/27/2017
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