Provider Demographics
NPI:1205820875
Name:C & M PHARMACY EXPRESS
Entity Type:Organization
Organization Name:C & M PHARMACY EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:NELIA
Authorized Official - Last Name:LEDBETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-858-0008
Mailing Address - Street 1:10134 N MEMORIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35810-1221
Mailing Address - Country:US
Mailing Address - Phone:256-858-0008
Mailing Address - Fax:256-858-0173
Practice Address - Street 1:10134 N MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35810-1221
Practice Address - Country:US
Practice Address - Phone:256-858-0008
Practice Address - Fax:256-858-0173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL112529333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL01-32302OtherNCPDP