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Organization
GENERIC PHARMACY
Active
Organization
GENERIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STRICKLAND RPH (OWNER)
(334) 671-3784
Entity
Organization
Contact information
Practice address
2115 E MAIN ST, STE 3, DOTHAN, AL 36301-3044
(334) 671-3784
(334) 671-0181
Mailing address
2115 E MAIN ST, STE 3, DOTHAN, AL 36301-3044
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112840
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134003
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
08/22/2020
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