Pmo Pharmacy Mgmt Dothan

LBN: Polk'S Crossgate Discount Drugs Inc.
Pmo Pharmacy Mgmt Dothan is an health care organization with primary practice located at 3119 Wesley Way Ste 6 Ste 6, Dothan AL 36305-2000. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Polk'S Crossgate Discount Drugs Inc. can be contacted via phone (334) 699-3900, or through Hudson, Margaret via phone (334) 699-3900.

Contact Information

Primary practice address
3119 Wesley Way Ste 6 Ste 6 Dothan AL 36305-2000
Fax: (334) 699-3902
Website:
Authorized official contact:
Name: Hudson, Margaret RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 112818 Alabama

Profile Details

NPI number 1407872666
LBN Legal business name Polk'S Crossgate Discount Drugs Inc.
DBA Doing business as Pmo Pharmacy Mgmt Dothan
Authorized official Hudson, Margaret RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 12th, 2017 - about 7 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 1407872666 NPPES
Alabama MEDICAID 100003723
Alabama Other 1995930
Alabama MEDICAID 031628800
Alabama MEDICAID 794290082A

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