Fountain City Pharmacy

LBN: Cloverland Drug, Inc
Fountain City Pharmacy is an health care organization with primary practice located at 105 N Memorial Dr , Prattville AL 36067-3332. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Cloverland Drug, Inc can be contacted via phone (334) 365-3327, or through Saalwaechter, David via phone (334) 322-2927.

Contact Information

Primary practice address
105 N Memorial Dr Prattville AL 36067-3332
Phone: (334) 365-3327
Fax: (334) 365-3316
Website:
Map and Directions
Authorized official contact:
Name: Saalwaechter, David RPH
Phone: (334) 322-2927

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 104085 Alabama
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1316026164
LBN Legal business name Cloverland Drug, Inc
DBA Doing business as Fountain City Pharmacy
Authorized official Saalwaechter, David RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Dec 21st, 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 1316026164 NPPES
Other 2143927 PK
MEDICAID 156110 PK

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