Contract Details
Weldon Pharmacy
Facility name
Weldon Pharmacy
Provider ID
P000009347
Tax ID
630415340
Effective Date
5/14/2019
Last Updated
5/15/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1280 Hueytown Road
Bessemer, AL 35023
United States
County
Jefferson
Phone
2054912805 (Phone)
Billing Details
Address
1280 Hueytown Road
Bessemer, AL 35023
Billing Phone
2054912805
Specialty Type
Pharmacy
Map
Address