Provider Demographics
NPI:1942311097
Name:CAMDEN DRUG COMPANY, INC.
Entity Type:Organization
Organization Name:CAMDEN DRUG COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:STOUDENMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-682-9266
Mailing Address - Street 1:212 CLAIBORNE ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AL
Mailing Address - Zip Code:36726-1714
Mailing Address - Country:US
Mailing Address - Phone:334-682-9266
Mailing Address - Fax:334-682-4065
Practice Address - Street 1:212 CLAIBORNE ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AL
Practice Address - Zip Code:36726-1714
Practice Address - Country:US
Practice Address - Phone:334-682-9266
Practice Address - Fax:334-682-4065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
AL1115953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51048996OtherBCBS
AL51048996OtherBCBS