Provider Demographics
NPI:1154168904
Name:CARBON HILL DRUGS, LLC
Entity type:Organization
Organization Name:CARBON HILL DRUGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CALINA
Authorized Official - Middle Name:THEREAS
Authorized Official - Last Name:KIMBRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-924-9616
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:CARBON HILL
Mailing Address - State:AL
Mailing Address - Zip Code:35549-0458
Mailing Address - Country:US
Mailing Address - Phone:205-924-9616
Mailing Address - Fax:205-924-9767
Practice Address - Street 1:31040 1ST AVE NE STE 5
Practice Address - Street 2:
Practice Address - City:CARBON HILL
Practice Address - State:AL
Practice Address - Zip Code:35549-4152
Practice Address - Country:US
Practice Address - Phone:205-924-9616
Practice Address - Fax:205-924-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy