Provider Demographics
NPI:1447617642
Name:R & R WHOLESALE DISTRIBUTORS INC
Entity Type:Organization
Organization Name:R & R WHOLESALE DISTRIBUTORS INC
Other - Org Name:S C WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-732-3533
Mailing Address - Street 1:237 OXMOOR CIR STE 109
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6436
Mailing Address - Country:US
Mailing Address - Phone:205-732-3533
Mailing Address - Fax:866-886-5188
Practice Address - Street 1:237 OXMOOR CIR STE 109
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6436
Practice Address - Country:US
Practice Address - Phone:205-732-3533
Practice Address - Fax:866-886-5188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
AL1145853336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2157806OtherPK