Provider Demographics
NPI:1093735920
Name:C & S PHARMACY INC.
Entity Type:Organization
Organization Name:C & S PHARMACY INC.
Other - Org Name:BIG C DRUGS SKYLINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/RPH
Authorized Official - Prefix:MR
Authorized Official - First Name:DEXTER
Authorized Official - Middle Name:ERWIN
Authorized Official - Last Name:CORDES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-587-3332
Mailing Address - Street 1:21549 AL HIGHWAY 79
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-5917
Mailing Address - Country:US
Mailing Address - Phone:256-587-3332
Mailing Address - Fax:256-587-3352
Practice Address - Street 1:21549 AL HIGHWAY 79
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-5917
Practice Address - Country:US
Practice Address - Phone:256-587-3332
Practice Address - Fax:256-587-3352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1126993336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0133330OtherNCPDP