Organization
MONTGOMERY BAPTIST OUTREACH SERVICES CORPORATION
Active
Other names
Baptist Tower Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ELIZABETH BRUTON (CFO)
(334) 273-4258
Entity
Organization
Contact information
Practice address
2055 E SOUTH BLVD, MONTGOMERY, AL 36116-2001
(334) 286-3200
Mailing address
2055 E SOUTH BLVD, MONTGOMERY, AL 36116-2001
(334) 286-3200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
101317
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01 19710
NCPDP
AL
05
—
100002115
—
AL
Enumeration date
10/03/2006
Last updated
04/09/2020
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