Provider Demographics
NPI:1700969243
Name:COWART DRUG COMPANY, INC.
Entity Type:Organization
Organization Name:COWART DRUG COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-668-1723
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:8320 U.S. HWY 31 SOUTH
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-0188
Mailing Address - Country:US
Mailing Address - Phone:205-668-1723
Mailing Address - Fax:
Practice Address - Street 1:8320 US HIGHWAY 31 SOUTH
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-0188
Practice Address - Country:US
Practice Address - Phone:205-668-1723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL102840183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100002628Medicaid