OrganizationBw Retail Pharmacy Llc(Brookwood Medical Plus)PharmacySuppliersPractice Address2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804(205) 877-2000(205) 877-1000PECOS EnrollmentBased on the most recent information from CMS, provider Bw Retail Pharmacy Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1659627800Provider TypeOrganizationFull NameBw Retail Pharmacy LlcOther NameBrookwood Medical PlusSubpartNoEnumeration Date7/25/2012Last Updated2/22/2017Contact InformationPractice LocationPractice Address2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804Phone(205) 877-2000Fax(205) 877-2997Mailing LocationMailing Address2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209-6804Phone(205) 877-1000Fax(205) 877-2997Authorized OfficialNameBryant, Christy (Pharmacist In Charge)Phone(205) 877-1000Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense113942AlabamaCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2136292DescriptionOtherIssuerPKID178128DescriptionMedicaidIssuerUnlistedAlabama