Provider Demographics
NPI:1952735276
Name:YORK DRUG, INC
Entity Type:Organization
Organization Name:YORK DRUG, INC
Other - Org Name:YD HOME MEDICAL EQUIPMENT & SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-392-5201
Mailing Address - Street 1:583 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:AL
Mailing Address - Zip Code:36925-2008
Mailing Address - Country:US
Mailing Address - Phone:205-392-5201
Mailing Address - Fax:205-392-7006
Practice Address - Street 1:96 COURT SQUARE
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:AL
Practice Address - Zip Code:35447-0478
Practice Address - Country:US
Practice Address - Phone:205-367-1234
Practice Address - Fax:205-367-2110
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YORK DRUG, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-22
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2052332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0345400004Medicare NSC