Provider Demographics
NPI:1396809695
Name:BISHOPS SCANT CITY PHARMACY AND GIFT
Entity type:Organization
Organization Name:BISHOPS SCANT CITY PHARMACY AND GIFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-753-2994
Mailing Address - Street 1:8180 AL HIGHWAY 69
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-7120
Mailing Address - Country:US
Mailing Address - Phone:256-753-2994
Mailing Address - Fax:256-753-6919
Practice Address - Street 1:8180 AL HIGHWAY 69
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-7120
Practice Address - Country:US
Practice Address - Phone:256-753-2994
Practice Address - Fax:256-753-6919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2009-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty