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Organization
BOATNERWERKS
Active
Organization
BOATNERWERKS
Active
Other names
Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEWIS BOATNER (OWNER)
(334) 264-1110
Entity
Organization
Contact information
Practice address
1751 UPPER WETUMPKA ROAD, MONTGOMERY, AL 36107
(334) 264-1110
(334) 264-1062
Mailing address
PO BOX 70369, MONTGOMERY, AL 36107-0369
(334) 264-1110
(334) 264-1062
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
19933
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126056
NABP / NCPDP
AL
05
—
100002719
—
AL
Enumeration date
08/31/2006
Last updated
07/30/2008
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