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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316026164 | NPPES |
| Other | 2143927 | PK | |
| MEDICAID | 156110 | PK |
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