# DURA MED SOUTHEAST INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** FLOMATON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144251943
- **Authorized official:** MISTY BLACKMAN RPH (SUPERVISING PHARMACIST)
- **Authorized official phone:** (251) 296-4224

## Contact information

- **Practice address:** 174 HIGHWAY 113, FLOMATON, AL 36441-4556
- **Practice address phone:** (251) 296-4224
- **Practice address fax:** (251) 296-4226
- **Mailing address:** 174 HIGHWAY 113, PO BOX 1018, FLOMATON, AL 36441-4556
- **Mailing address phone:** (251) 296-4224
- **Mailing address fax:** (251) 296-4226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 111970 | AL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 02/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0133645 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 031884100 | — | AL |
| 05 | — | 100003505 | — | AL |