Organization
FRED C SANDLIN, JR
Active
Other names
Fred's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FRED C SANDLIN JR. (OWNER)
(205) 921-4267
Entity
Organization
Contact information
Practice address
797 MILITARY ST S, HAMILTON, AL 35570-4737
(205) 921-4267
(205) 921-2576
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
104160
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
104160
AL
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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