Provider Demographics
NPI:1639760978
Name:B & B DRUGS LLC
Entity Type:Organization
Organization Name:B & B DRUGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:JON
Authorized Official - Last Name:BEATY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-387-1403
Mailing Address - Street 1:PO BOX 2632
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35502-2632
Mailing Address - Country:US
Mailing Address - Phone:205-387-0526
Mailing Address - Fax:205-387-0544
Practice Address - Street 1:400 9TH AVE
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-3732
Practice Address - Country:US
Practice Address - Phone:205-387-0526
Practice Address - Fax:205-387-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL10144132Medicaid