Phillips Drug Company LLC

Organization Active NPI Community/Retail Pharmacy · Clayton, AL

NPI 1043377633 · NPPES record last updated Aug 29, 2022

Key facts

NPI
1043377633
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
110738 (AL)
Legal business name
PHILLIPS DRUG COMPANY LLC
Practice address
23 Court Square
Clayton, AL 36016-0220
Phone
(334) 775-3442
Fax
(334) 775-7711
NPI assigned
Jan 2, 2007
Organization subpart
No

Authorized official

Name
William Phillips NPI 1720315013
Title
Owner
Phone
(334) 354-7812

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Clayton Drug Company (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 110738 AL Yes

Addresses

Primary practice location

23 Court Square
Clayton, AL 36016-0220

Mailing address

PO Box 220
Clayton, AL 36016-0220
Phone (334) 775-3442

Other identifiers

IdentifierTypeStateIssuer
100002824MedicaidAL

Other names

  • Clayton Drug Company Doing business as
  • Pratts Station LLC Former legal business name

Other providers in Clayton, AL

All providers in Clayton, AL · Community/Retail Pharmacy in Alabama

Sources for this page

Verify at the official NPI Registry.