Provider Demographics
NPI:1750464301
Name:SOLOMON DRUG CO., INC.
Entity Type:Organization
Organization Name:SOLOMON DRUG CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:THURMAN
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-372-3355
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:EUTAW
Mailing Address - State:AL
Mailing Address - Zip Code:35462-0189
Mailing Address - Country:US
Mailing Address - Phone:205-372-3355
Mailing Address - Fax:
Practice Address - Street 1:306 MORROW AVE
Practice Address - Street 2:
Practice Address - City:EUTAW
Practice Address - State:AL
Practice Address - Zip Code:35462-1108
Practice Address - Country:US
Practice Address - Phone:205-372-3355
Practice Address - Fax:205-372-4971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
AL3336C0003X3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0510502834OtherBCBSAL
AL0743330001Medicare NSC