Provider Demographics
NPI:1003228701
Name:DAWES FAMILY PHARMACY, LLC
Entity Type:Organization
Organization Name:DAWES FAMILY PHARMACY, LLC
Other - Org Name:DAWES POINTE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:COTTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:251-607-9800
Mailing Address - Street 1:8650 COTTAGE HILL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3612
Mailing Address - Country:US
Mailing Address - Phone:251-607-9800
Mailing Address - Fax:251-607-9977
Practice Address - Street 1:8650 COTTAGE HILL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3612
Practice Address - Country:US
Practice Address - Phone:251-607-9800
Practice Address - Fax:251-607-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL114360333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy