Provider Demographics
NPI:1093055287
Name:BROWN'S DISCOUNT APOTHECARY BC, INC
Entity Type:Organization
Organization Name:BROWN'S DISCOUNT APOTHECARY BC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BOLLING
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:205-265-3095
Mailing Address - Street 1:2965 HIGHWAY 195
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35503-3840
Mailing Address - Country:US
Mailing Address - Phone:205-265-3095
Mailing Address - Fax:
Practice Address - Street 1:2965 HIGHWAY 195
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35503-3840
Practice Address - Country:US
Practice Address - Phone:205-265-3095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1140543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy