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Organization
EMM DEE DRUG CO INC
Active
Organization
EMM DEE DRUG CO INC
Active
Other names
ATHENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MAUND RPH (OWNER)
(256) 232-2242
Entity
Organization
Contact information
Practice address
705 W MARKET ST, ATHENS, AL 35611-2456
(256) 232-2242
(256) 230-2613
Mailing address
705 W MARKET ST, ATHENS, AL 35611-2456
(256) 232-2242
(256) 230-2613
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
101280
AL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100898
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100000145
—
AL
Enumeration date
09/16/2006
Last updated
12/17/2012
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