Contract Details
Facility name
Corporate Pharmacy Services
Provider ID
P000002065
NPI
1437194933
Tax ID
631040950
Effective Date
8/1/1994
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_082
Location Details
Address
319 Broad Street
Gadsden, AL 35902
United States
County
Etowah
Phone
2565439000 (Phone)
Billing Details
Address
P.O. Box 1950
Gadsden, AL 35902
Billing Phone
2565439000
Specialty Type
Pharmacy
Map
Address