Provider Demographics
NPI:1275607368
Name:NEIL'S PHARMACY, INC
Entity Type:Organization
Organization Name:NEIL'S PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMRON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-988-5023
Mailing Address - Street 1:1573 CAHABA VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-3251
Mailing Address - Country:US
Mailing Address - Phone:205-988-5023
Mailing Address - Fax:205-988-5024
Practice Address - Street 1:1573 CAHABA VALLEY RD
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-3251
Practice Address - Country:US
Practice Address - Phone:205-988-5023
Practice Address - Fax:205-988-5024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1071253336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0114594OtherNABP