CGM INC
1144 Airport Dr
Alexander City, AL 35010
256-215-8014
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | AL | 112813 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100003704 | AL | MEDICAID | |
DEA # | BT9774248 | AL | OTHER |
OTHER ID NUMBER-COMMERCIAL NUMBER | 0133746 | OTHER |