Provider Demographics
NPI:1417021403
Name:DEANS DRUGS INC.
Entity Type:Organization
Organization Name:DEANS DRUGS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:TROY
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-927-5569
Mailing Address - Street 1:699 CEDAR BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:CENTRE
Mailing Address - State:AL
Mailing Address - Zip Code:35960
Mailing Address - Country:US
Mailing Address - Phone:256-927-5569
Mailing Address - Fax:256-927-2440
Practice Address - Street 1:699 CEDAR BLUFF RD
Practice Address - Street 2:
Practice Address - City:CENTRE
Practice Address - State:AL
Practice Address - Zip Code:35960
Practice Address - Country:US
Practice Address - Phone:256-927-5569
Practice Address - Fax:256-927-2440
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 Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL50681OtherBC BS
AL000050681Medicaid
AL50681OtherBC BS