# HOUSTON COUNTY HEALTHCARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeast Medicine Shop
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093556193
- **Authorized official:** JOSEPH W DRAKE (OUTPATIENT PHARMACY MANAGER)
- **Authorized official phone:** (334) 793-8116

## Contact information

- **Practice address:** 1108 ROSS CLARK CIR STE 160, DOTHAN, AL 36301-3022
- **Practice address phone:** (334) 793-8116
- **Mailing address:** 1108 ROSS CLARK CIR STE 160, DOTHAN, AL 36301-3022
- **Mailing address phone:** (334) 793-8116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336S0011X | Specialty Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 10/16/2024