CLOVERLAND DRUG INC NPI 1316026164

NPI Information

  • NPI: 1316026164
  • Provider Name: CLOVERLAND DRUG, INC
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: FOUNTAIN CITY PHARMACY
  • Address: 105 N MEMORIAL DR
    PRATTVILLE, AL
    ZIP 36067
  • Phone: (334) 365-3327

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NPI Details

CLOVERLAND DRUG, INC is a pharmacy in Prattville, AL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CLOVERLAND DRUG, INC NPI is 1316026164. The provider is registered as an organization entity type.
The provider Is Doing Business As Fountain City Pharmacy.

The provider's business location address is:

105 N MEMORIAL DR
PRATTVILLE, AL
ZIP 36067-332
Phone: (334) 365-3327
Fax: (334) 365-3316

The provider's authorized official is David Saalwaechter .
The authorized official title is President and has the following contact phone number (334) 322-2927.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 12/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336M0002XPharmacyMail Order PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo
4333600000XPharmacy104085ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12143927OTHERPK
2156110MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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