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Organization
ESCAMBIA DRUG STORE INC
Active
Organization
ESCAMBIA DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DEWAYNE BARNETT REG PHARMACIST (REG PHARMACIST INS TRES OF CORPERAT)
(251) 368-3191
Entity
Organization
Contact information
Practice address
108 S MAIN STREET, ATMORE, AL 36502-2446
(251) 368-3191
(251) 368-1916
Mailing address
108 S MAIN STREET, ATMORE, AL 36502-2446
(251) 368-3191
(251) 368-1916
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
103720
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#103720
ALA CONTROLLED SUBSTANCE
—
01
—
0104050
NABP
—
Enumeration date
01/30/2007
Last updated
03/07/2023
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