# MONTGOMERY DRUG COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONTGOMERY DRUG COMPANY, INC
- **Other names:** Adams Drugs-Prattville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023105665
- **Legal business name:** MONTGOMERY DRUG COMPANY, INC
- **Authorized official:** MR. CARL BLEDSOE R. PH. (PHARMACY MANAGER)
- **Authorized official phone:** (334) 358-5353

## Contact information

- **Practice address:** 103 S MEMORIAL DR, PRATTVILLE, AL 36067-3621
- **Practice address phone:** (334) 358-5353
- **Practice address fax:** (334) 358-5352
- **Mailing address:** 103 S MEMORIAL DR, PRATTVILLE, AL 36067-3621
- **Mailing address phone:** (334) 358-5353
- **Mailing address fax:** (334) 358-5352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 111580 | AL | — |
| 3336C0003X | Community/Retail Pharmacy | 111580 | AL | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 02/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100003104 | — | AL |