Organization
THREE NOTCH PHARMACY LLC
Active
Other names
Three Notch Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES COTTRELL (OWNER/PHARMACIST)
(251) 802-0387
Entity
Organization
Contact information
Practice address
7700 THREE NOTCH RD, MOBILE, AL 36619-1129
(251) 661-0066
(251) 661-0063
Mailing address
PO BOX 129, GRAND BAY, AL 36541-0129
(251) 865-1040
(251) 865-1041
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113860
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135510
—
AL
01
—
2133675
PK
—
Enumeration date
12/28/2011
Last updated
11/13/2024
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