Provider Demographics
NPI:1528163227
Name:PEOPLE'S CHOICE PHARMACY
Entity type:Organization
Organization Name:PEOPLE'S CHOICE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWDEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:256-734-4444
Mailing Address - Street 1:3259 AL HIGHWAY 157
Mailing Address - Street 2:SUITE E
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35058-6000
Mailing Address - Country:US
Mailing Address - Phone:256-734-4444
Mailing Address - Fax:256-734-4440
Practice Address - Street 1:3259 AL HIGHWAY 157
Practice Address - Street 2:SUITE E
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-6000
Practice Address - Country:US
Practice Address - Phone:256-734-4444
Practice Address - Fax:256-734-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1110203336C0003X
AL2006603336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Not Answered3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5473040001Medicare ID - Type Unspecified