Fort Deposit Drug Pharmacy Llc

LBN: Fort Deposit Drug Pharmacy Llc
Fort Deposit Drug Pharmacy Llc is an health care organization with primary practice located at 120 S Pollard St , Fort Deposit AL 36032-3825. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Fort Deposit Drug Pharmacy Llc can be contacted via phone (334) 227-7777, or through Hayes, Kenneth via phone (205) 401-7911.

Contact Information

Primary practice address
120 S Pollard St Fort Deposit AL 36032-3825
Phone: (334) 227-7777
Fax: (334) 227-4466
Website:
Map and Directions
Authorized official contact:
Name: Hayes, Kenneth
Phone: (205) 401-7911

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 113013 Alabama

Profile Details

NPI number 1124203211
LBN Legal business name Fort Deposit Drug Pharmacy Llc
DBA Doing business as Fort Deposit Drug Pharmacy Llc
Authorized official Hayes, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2008
Last updated May 25th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124203211 NPPES
Other 0135029 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 113013 NCPDP PROVIDER IDENTIFICATION NUMBER

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