Provider Demographics
NPI:1336534379
Name:PHIL'S PILLS INCORPORATED
Entity Type:Organization
Organization Name:PHIL'S PILLS INCORPORATED
Other - Org Name:THE MEDICINE SHOPPE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:RIGSBY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-536-1910
Mailing Address - Street 1:2701 PATTON RD SW
Mailing Address - Street 2:SUITE E
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-4352
Mailing Address - Country:US
Mailing Address - Phone:256-536-1910
Mailing Address - Fax:256-536-1722
Practice Address - Street 1:2701 PATTON RD SW
Practice Address - Street 2:SUITE E
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-4352
Practice Address - Country:US
Practice Address - Phone:256-536-1910
Practice Address - Fax:256-536-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1144703336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL7417590001Medicare NSC