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ODENVILLE DRUGS INC NPI 1922045301


NPI Information

NPI: 1922045301
Provider Name: ODENVILLE DRUGS, INC
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 01D2059295

Address:
140 COUNCIL DR
ODENVILLE, AL
ZIP 35120
Phone: (205) 629-6303
Get Directions

ODENVILLE DRUGS, INC is a pharmacy in Odenville, AL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ODENVILLE DRUGS, INC NPI is 1922045301. The provider is registered as an organization entity type.

The provider's business location address is:

140 COUNCIL DR
ODENVILLE, AL
ZIP 35120-495
Phone: (205) 629-6303
Fax: (205) 629-6357

The provider's authorized official is Curtis Marshall Eddy .
The authorized official title is Owner/pharmacists and has the following contact phone number (205) 629-6303.

The CLIA number assigned to this NPI record is 01D2059295 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 9/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies112071ALABAMANo
2333600000XPharmacy112071ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1009932217MEDICAIDALABAMA
20131134OTHERALABAMANAPCP NUMBER
35457430001MEDICARE NSCALABAMA
4100003289MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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