Provider Demographics
NPI:1306995618
Name:PHILEN AND POWELL INC
Entity type:Organization
Organization Name:PHILEN AND POWELL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST PHARMACY CO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROLAND
Authorized Official - Last Name:PHILEN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED PHARMACIS
Authorized Official - Phone:251-743-3784
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:AL
Mailing Address - Zip Code:36425
Mailing Address - Country:US
Mailing Address - Phone:251-743-3784
Mailing Address - Fax:251-575-5936
Practice Address - Street 1:55 MAYFIELD ST
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460
Practice Address - Country:US
Practice Address - Phone:251-743-3784
Practice Address - Fax:251-575-5936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111321333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0128707OtherNCPDP
0128707OtherNCPDP