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Organization
SHORTER DRUGS, BOATNERWERKS, INC DBA
Active
Organization
SHORTER DRUGS, BOATNERWERKS, INC DBA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L BOATNER RPH (PRESIDENT/PHARMACIST)
(334) 264-1110
Entity
Organization
Contact information
Practice address
17150 US HIGHWAY 80 W, SHORTER, AL 36075-3930
(334) 725-9282
(334) 725-9285
Mailing address
PO BOX 70369, MONTGOMERY, AL 36107-0369
(334) 264-1110
(334) 262-0748
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112802
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133823
NCPDP
AL
Enumeration date
08/26/2006
Last updated
08/22/2020
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