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Organization
MONTGOMERY DRUG COMPANY INC
Active
Organization
MONTGOMERY DRUG COMPANY INC
Active
Other names
ADAMS STREET DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS PHUNG (PHARMACIST IN CHARGE)
(334) 272-0802
Entity
Organization
Contact information
Practice address
934 ADAMS AVE, MONTGOMERY, AL 36104-4422
(334) 264-3496
(334) 264-3410
Mailing address
934 ADAMS AVE, MONTGOMERY, AL 36104-4422
(334) 264-3496
(334) 264-3410
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
101020
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002472
—
AL
01
—
1987966
PK
—
Enumeration date
10/20/2006
Last updated
11/22/2016
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