Provider Demographics
NPI:1851624407
Name:B & L DRUGS INC
Entity Type:Organization
Organization Name:B & L DRUGS INC
Other - Org Name:KILGORE EXPRESS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCANLESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-495-9300
Mailing Address - Street 1:PO BOX 830
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35740-0830
Mailing Address - Country:US
Mailing Address - Phone:256-495-9300
Mailing Address - Fax:256-495-9301
Practice Address - Street 1:50452 AL HIGHWAY 277
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:AL
Practice Address - Zip Code:35740-6517
Practice Address - Country:US
Practice Address - Phone:256-495-9300
Practice Address - Fax:256-495-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
AL1133013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL113905Medicaid
2121433OtherPK