Provider Demographics
NPI:1639689920
Name:REMEDIES PHARMACY, INC.
Entity type:Organization
Organization Name:REMEDIES PHARMACY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLSONCROFT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-593-4223
Mailing Address - Street 1:4524 SOUTHLAKE PKWY, STE 30
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244
Mailing Address - Country:US
Mailing Address - Phone:205-593-4223
Mailing Address - Fax:205-593-4573
Practice Address - Street 1:4524 SOUTHLAKE PKWY, STE 30
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244
Practice Address - Country:US
Practice Address - Phone:205-593-4223
Practice Address - Fax:205-593-4573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-02
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1639689920Medicaid