National Provider Identifier Database

WIREGRASS MEDICAL CENTER
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

WIREGRASS MEDICAL CENTER
1200 W. MAPLE AVE
PHARMACY DEPT.
GENEVA, AL36340
Phone: 334-684-3655
Fax: 334-684-1294
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for WIREGRASS MEDICAL CENTER

NPI Number 1629338223
Legal business name
LBN
WIREGRASS MEDICAL CENTER
Authorized official GEORGE CLEVELAND - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/17/2012
Last updated 05/17/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • AL Medicaid: HOS0062H

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for WIREGRASS MEDICAL CENTER

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