Provider Demographics
NPI:1932161445
Name:YORK DRUG, INC
Entity type:Organization
Organization Name:YORK DRUG, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-392-5201
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:AL
Mailing Address - Zip Code:36925-0577
Mailing Address - Country:US
Mailing Address - Phone:334-287-0399
Mailing Address - Fax:334-287-0398
Practice Address - Street 1:549 US HIGHWAY 80 W
Practice Address - Street 2:STE 1
Practice Address - City:DEMOPOLIS
Practice Address - State:AL
Practice Address - Zip Code:36732-4128
Practice Address - Country:US
Practice Address - Phone:334-287-0399
Practice Address - Fax:334-287-0398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL060045332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51520961OtherBCBS OF ALABAMA
AL009932845Medicaid
AL009932845Medicaid