The Prescription Shop

LBN: Carrollton Prescription Shop Inc
The Prescription Shop is an health care organization with primary practice located at 41254 Highway 195 Ste G , Haleyville AL 35565-8115. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Carrollton Prescription Shop Inc can be contacted via phone (205) 494-7150, or through South, Jeff via phone (205) 494-7150.

Contact Information

Primary practice address
41254 Highway 195 Ste G Haleyville AL 35565-8115
Phone: (205) 494-7150
Fax: (205) 485-1130
Website:
Map and Directions
Authorized official contact:
Name: South, Jeff
Phone: (205) 494-7150

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 109667 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1003821612
LBN Legal business name Carrollton Prescription Shop Inc
DBA Doing business as The Prescription Shop
Authorized official South, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Dec 10th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003821612 NPPES
Other 2152742 PK
MEDICAID 100001842 PK

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