# MIJ LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Progressive Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063852689
- **Authorized official:** SHAKIR MEGHANI (OWNER)
- **Authorized official phone:** (334) 718-9768

## Contact information

- **Practice address:** 1970 ANDREWS AVE, OZARK, AL 36360-3726
- **Practice address phone:** (334) 350-3671
- **Practice address fax:** (334) 350-3672
- **Mailing address:** 2812 HARTFORD HWY, SUITE 1, DOTHAN, AL 36305-4927
- **Mailing address phone:** (334) 699-8622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 202623 | AL | Yes |

## Other

- **Enumeration date:** 06/27/2013
- **Last updated:** 03/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 166432 | — | AL |
| 01 | — | 2147359 | PK | — |
