Big C Discount Drugs
Organization Active NPI Pharmacist · Theodore, AL
NPI 1104941749 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104941749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacist 183500000X
- License
- 7228 (AL)
- Legal business name
- BIG C DISCOUNT DRUGS
- Practice address
- 5808B Highway 90
Theodore, AL 36582-1643 - Phone
- (251) 653-0720
- Fax
- (251) 653-0748
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Lewis Etheredge Redditt II, PHARMACIST
- Title
- Owner
- Phone
- (251) 653-0720
Practitioners 1
-
Lewis Etheredge Redditt II, PHARMACIST
National Provider Directory
Locations
5808 Highway 90
Ste B
Theodore, AL 36582
Phone (251) 653-0720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 7228 | AL | Yes |
Addresses
Primary practice location
5808B Highway 90
Theodore, AL 36582-1643
Mailing address
5808B Highway 90
Theodore, AL 36582-1643
Phone (251) 653-0720
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000001973 | Medicaid | AL |
Other providers in Theodore, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.