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Organization
DRAKE-HOGAN PHARMACY LLC
Active
Organization
DRAKE-HOGAN PHARMACY LLC
Active
Other names
DRAKE HOGAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN DUNNING (CEO)
(205) 453-0934
Entity
Organization
Contact information
Practice address
2401 15TH AVE N, BIRMINGHAM, AL 35234-2833
(205) 453-9096
(205) 453-9097
Mailing address
1919 OXMOOR RD STE 206, HOMEWOOD, AL 35209-3502
(205) 453-0934
(205) 453-0940
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113878
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137744
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/04/2012
Last updated
07/18/2012
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