Provider Demographics
NPI:1437357506
Name:J & J DRUGS CORP
Entity type:Organization
Organization Name:J & J DRUGS CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:H
Authorized Official - Middle Name:S
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-631-8731
Mailing Address - Street 1:1318 MAIN ST
Mailing Address - Street 2:PO BOX 428
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2496
Mailing Address - Country:US
Mailing Address - Phone:205-631-8731
Mailing Address - Fax:205-608-1810
Practice Address - Street 1:1318 MAIN ST
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2496
Practice Address - Country:US
Practice Address - Phone:205-631-8731
Practice Address - Fax:205-608-1810
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J & J DRUGS CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-10
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100000661Medicaid
AL100000661Medicaid